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Helicobacter pylori infection and gastroduodenal lesions in children with chronic kidney disease stage V

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Abstract

Background

This study aimed to investigate the dyspeptic symptoms, endoscopic findings, and frequency of Helicobacter pylori (Hp) infection in children with chronic kidney disease (CKD) stage V, and to compare findings in peritoneal dialysis (PD) and hemodialysis (HD) patients.

Methods

Sixty-five patients on PD (n = 36) or HD (n = 29) were included. Age, gender, duration and type of dialysis, and dyspeptic complaints were recorded. All patients underwent endoscopy. Rapid urease tests were performed in all patients and antral biopsy examinations done in suitable patients to investigate presence of Hp infection.

Results

The mean age of patients (55 % male) was 13.9 ± 3.6 years. Frequency of dyspepsia was 43 % and was similar in HD and PD groups. The most frequent dyspeptic symptoms were early satiety (21.5 %) and bloating (17 %). Abnormal endoscopic findings were present in 81.5 % of patients (similar in both groups), and the most common lesion was gastritis (35.5 %). Hp positivity was determined in 37 % of the patients, which was similar in both groups. No significant relationship was found between dyspeptic symptoms and Hp infection. Hp infection was found to be significantly higher in 41.5 % of the patients with gastroduodenal lesions. Abnormal endoscopic findings were significantly higher in severely dyspeptic patients (88.9 %).

Conclusions

We think performing an upper gastrointestinal tract examination and Hp screening may be helpful in renal transplant candidates with severe dyspeptic symptoms.

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Authors and Affiliations

  1. Department of Pediatric Gastroenterology, Hepatology and Nutrition, Baskent University, Adana, Turkey

    Oguz Canan

  2. Department of Pediatric Gastroenterology, Hepatology, and Nutrition, Baskent University, Ankara, Turkey

    Figen Ozcay & Ferda Ozbay-Hosnut

  3. Department of Pediatric Nephrology, Baskent University, Adana, Turkey

    Nurcan Cengiz

  4. Department of Pediatric Nephrology, Baskent University, Ankara, Turkey

    Esra Baskın

Authors
  1. Oguz Canan
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  2. Figen Ozcay
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  3. Ferda Ozbay-Hosnut
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  4. Nurcan Cengiz
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  5. Esra Baskın
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Correspondence to Oguz Canan.

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Canan, O., Ozcay, F., Ozbay-Hosnut, F. et al. Helicobacter pylori infection and gastroduodenal lesions in children with chronic kidney disease stage V. Pediatr Nephrol 27, 2269–2274 (2012). https://doi.org/10.1007/s00467-012-2244-3

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  • DOI: https://doi.org/10.1007/s00467-012-2244-3

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