Prevalence of Oesophago - Gastroduodenal Illnesses Among Dyspeptic Children in Al-Anbar Governorate

Abstract

Objective: To determine the prevalence of Oesophago-gastroduodenal diseases among dyspeptic children in Al-Anbar Governorate.Patients and Methods: A cross-sectional study conducted at Gastroendoscopy Unit of Al-Ramadi Teaching Hospital from 1 May 2002 -30 August 2007, and included two hundred seventy dyspeptic children subjected to Oesophago-gastroduodenoscopy (OGD) after direct complete medical history and clinical examination was taken from each child or from his parents.Results: According to OGD findings, a higher significant prevalence of negative endoscoping findings (normal dyspeptic children) (62.2%) than those with positive cases (37.8%) were detected (p<0.5). Among those with positive endoscopic findings, duodenal ulcer was detected in 67.6% followed in order by gastritis in 11.4%, gastric ulcer in 9.5%, and oesophagitis in 6.7% and duodenitis in 4.8 %. The frequency distribution of positive endoscopic findings was slightly higher among male dyspeptic children than in females. The frequency of positive endoscopic findings was decreased with increasing age groups in dyspeptic children. Conclusions: OGD diseases were slightly more common among boys than girls with dyspepsia. OGD cases are higher in younger age group (<5 years) than those of older age groups. The parents are strongly advised to take care for their children regarding nutritional habits, stress and other socio-cultural factors that may play role in increasing the risk of development of OGD diseases among dyspeptic children in our province.