Document Detail

Primary peptic ulcer disease in childhood.
MedLine Citation:
PMID:  2405505     Owner:  NLM     Status:  MEDLINE    
In a retrospective survey, the clinical details of all children with primary peptic ulcer seen at Red Cross War Memorial Children's Hospital over a 12-year period were analysed. The diagnosis was confirmed in 31 cases, 22 of whom had a duodenal ulcer. Gastro-intestinal bleeding was the presenting symptom in 19 patients. In 7 of these there were no preceding symptoms, rendering earlier diagnosis impossible. Those presenting with abdominal pain had a mean interval of 2.8 years between onset of symptoms and diagnosis. Useful clinical clues in these children were epigastric tenderness and anaemia. To avoid diagnostic delays, peptic ulcer disease should be considered more often in children with abdominal pain. When available, gastro-intestinal tract endoscopy should be the diagnostic investigation of choice.
M S Gold; I D Hill; M D Bowie
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde     Volume:  77     ISSN:  0256-9574     ISO Abbreviation:  S. Afr. Med. J.     Publication Date:  1990 Feb 
Date Detail:
Created Date:  1990-03-15     Completed Date:  1990-03-15     Revised Date:  2014-09-12    
Medline Journal Info:
Nlm Unique ID:  0404520     Medline TA:  S Afr Med J     Country:  SOUTH AFRICA    
Other Details:
Languages:  eng     Pagination:  183-5     Citation Subset:  IM    
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MeSH Terms
Child, Preschool
Duodenal Ulcer / epidemiology*
Retrospective Studies
South Africa / epidemiology
Stomach Ulcer / epidemiology*

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