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  • Title: [Primary peptic ulcer in childhood: apropos of 20 cases studied using digestive fiberendoscopy].
    Author: Polo Martín P, Calabuig Sánchez M, Tomás Rates C, Alvarez Angel V, Medina Chuliá E.
    Journal: An Esp Pediatr; 1989 Feb; 30(2):99-103. PubMed ID: 2655516.
    Abstract:
    We report a review of 20 children (14 males and 6 females) between 3 1/2-13 years of age (mean 9.7/ 12 years) with primary peptic ulcer disease, diagnosed by digestive fiberendoscopy. Endoscopy revealed 18 duodenal and 2 gastric ulcers. Positive family history was found in 45% of the patients. Abdominal pain was the most common presenting symptom and gastrointestinal bleeding was the only complication. The time before diagnosis was lesser than one month in 10%, between one to six months in 30% and more than months in 60% of patients. The follow-up period rate from three to 46 months (mean 14.9/12 months). Radiological study was performed in 18 patients and led 50% of false negative. A satisfactory response to mean treatment was found in all cases. Three patients related No patients required surgical treatment.
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