ĐẶC ĐIỂM LÂM SÀNG VÀ MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN BỆNH LOÉT DẠ DÀY TÁ TRÀNG Ở TRẺ EM TẠI BỆNH VIỆN ĐA KHOA XANH PÔN

Abstract

Peptic ulcer disease is showing an increasing trend in children, with frequent recurrences and potentially serious complications if not treated promptly. Aims: To describe the clinical characteristics and some related factors of peptic ulcer disease in children at Saint Paul Hospital. Materials and Methods: A prospective cross-sectional descriptive study was conducted on 68 children with gastritis and 68 children with gastric and duodenal ulcers at Saint Paul Hospital from June 1, 2024, to May 31, 2025. Results: The mean age of children with peptic ulcer disease was 10.7 ± 3.0 years, with a male-to-female ratio of 1.3:1. The most common symptoms of peptic ulcer in children were recurrent abdominal pain (100%), nausea and vomiting (54.4%), and belching/acid regurgitation (41.2%). Risk factors associated with peptic ulcer disease included a family history of ulcers (OR = 3.5, 95% CI: 1.5–8.4), previous use of steroids (OR = 3.4, 95% CI: 1.2–11.4), frequent consumption of grilled/fried foods (OR = 2.7, 95% CI: 1.2–5.9), and intake of carbonated beverages (OR = 3.1, 95% CI: 1.1–9.6). Conclusion: The most common clinical manifestations of peptic ulcer disease in children were recurrent abdominal pain accompanied by nausea, vomiting, and belching/acid regurgitation. Risk factors for pediatric peptic ulcer disease included family history of peptic ulcer, steroid use, frequent consumption of grilled or fried foods, and drinking carbonated beverages.