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Pediatric Gastritis, Gastropathy, and Peptic Ulcer Disease

Desiree Sierra, Mary Wood, Sneha Kolli and Lina Maria Felipez.Pediatrics in Review 2018;39;542.DOI: 10.1542/pir.2017-0234


Gastritis, gastropathy, and peptic ulcer disease (PUD), collectively known as acid peptic disease, are often described as a spectrum of the same disease. Although these conditions are more common in adults, their incidence in the pediatric population is clinically significant. Left untreated, gastritis can progress to PUD, which can result in serious complications such as perforation, bleeding, bowel strictures, and obstruction. Studies describing the role of Helicobacter pylori, nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, and other causes have helped to further expand our understanding of gastritis and PUD in children. Direct visualization and the ability to biopsy with endoscopy have revolutionized the diagnosis and treatment of these diseases.


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