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- Title
Endoscopic markers of coeliac disease in children.
- Authors
Szaflarska-Popławska, Anna; Bała, Grażyna; Popławski, Cezary
- Abstract
Introduction: Macroscopic lesions within duodenal mucosa can occur in patients suffering from coeliac disease: decreased amount, flattening or loss of Kerkring folds, fissures of folds, mosaic pattern of the mucosa, visible vascular pattern and granulation of the duodenal mucosa. Aim of study: The aim of the study was to assess prevalence of selected endoscopic markets in patients who were not treated due to coeliac disease. Material and methods: Patients included in the study were diagnosed to suffer from coeliac disease on the basis of the result of histopathological examination of the small bowel biopsy specimen taken during endoscopic examination that has been performed from 1.02.2005 until the present moment. Retrospective analysis considered the presence or absence: scalloping of the peak of mucosa folds, loss of folds and mosaic pattern of the mucosa. Results: Considering analysed period of time, coeliac disease was diagnosed in 39 patients, patients' age was from 1 to 22 years (mean age was 9.6 years), including 24 females and 15 males. 25 patients (64.1%) showed the presence of at least 1, but 9 patients -2 endoscopic features of coeliac disease. Mosaic pattern (35.9%) of the mucosa and scalloping of the folds (33.3%) were observed most often. None of patients presented all assessed macroscopic features. Conclusions: 1. Endoscopic markets of coeliac disease most frequently occur individually in less than 2/3 of patients suffering from coeliac disease. 2. Absence of endoscopic markets concerning loss of intestinal folds does not exclude the diagnosis of coeliac disease.
- Subjects
SPHINCTER of Oddi; GASTROESOPHAGEAL reflux; GASTROESOPHAGEAL reflux in children; CELLULAR pathology; ESOPHAGUS diseases; HEARTBURN
- Publication
Gastroenterologia Polska / Gastroenterology, 2007, Vol 14, Issue 4, p257
- ISSN
1232-9886
- Publication type
Article