ĐẶC ĐIỂM LÂM SÀNG VÀ KẾT QUẢ NỘI SOI DẠ DÀY TÁ TRÀNG Ở BỆNH NHÂN ĐAU BỤNG TÁI DIỄN TẠI TRUNG TÂM NHI KHOA, BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

Abstract

Objective: This study aimed to describe the clinical characteristics and gastroduodenal endoscopy findings in patients with recurrent abdominal pain. Methods: A descriptive study was conducted on 83 children with recurrent abdominal pain who were admitted to the Pediatric Center, Thai Nguyen National Hospital, from 2024 to 2025. Subjects: Patients presenting with recurrent abdominal pain who underwent gastroduodenal endoscopy during hospitalization at the Pediatric Center, Thai Nguyen National Hospital. Results: The proportion of female patients was 51.8%, and male patients accounted for 42.8%. Children aged 10–15 years represented 65%, while those aged 5–9 years accounted for 35% of the patients undergoing gastroduodenal endoscopy for recurrent abdominal pain. The most common accompanying symptoms were nausea and vomiting (36.1%), followed by belching and acid regurgitation (34.9%). Endoscopic findings showed 16.9% of patients had normal mucosa, 47% had gastritis, 31.3% had both gastritis and duodenitis, and 4.8% had peptic ulcers. Children with a family history of peptic ulcer disease, those aged 10–14 years, and male patients had higher rates of mucosal lesions than those without a family history, aged 5–9 years, or female, although the differences were not statistically significant with p>0.05. Patients presenting with epigastric pain, nausea and vomiting, belching, or bloating had a significantly higher rate of endoscopic lesions compared to those without such symptoms with p<0.05.