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Peptic Ulcer in Infants: Three Case Reports and a Review of the Japanese Literature
Author(s) -
HAYAKAWA Makoto,
MORISE Kimitomo,
SUGITO Tetsuaki,
UMEDA Takashi,
UCHIDA Kiyoshi,
OKA Youji,
KUROKAWA Susumu,
KUSAKABE Atsuhiko,
TACHINO Fumio,
ANDO Takahumi,
SAKAI Toru,
HATTORI Tatsuo,
KANAYAMA Kazuhiro,
KUSUGAMI Kazuo,
CHIN Kenshou,
ITO Shingo,
KONAGAYA Toshihiro,
KOJIMA Kunihiko,
HIKI Yoishiki
Publication year - 1990
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.1990.tb00339.x
Subject(s) - medicine , melena , perforation , antacid , peptic ulcer , peptic , gastroenterology , duodenal ulcer , surgery , materials science , punching , metallurgy
Abstract: Three cases of peptic ulcer in children under two years of age are reported, and 33 cases of infants with peptic ulcer reported in Japan between 1955 and March, 1989 are reviewed. Case 1 was an 8‐month‐old male complaining of melena, and endoscopic examination showed a gastric ulcer on the lesser curvature of the antrum. Cases 2 and 3 were a 15‐month‐old mule and an 18‐month‐old male, respectively, with complaints of melena and hematemesis. Endoscopic examination revealed an active duodenal ulcer in both cases. All 3 infants were successfully treated with H 2 blocker and/or antacid. In these 3 cases, infection or drugs were speculated to be predisposing factors, and the fathers of these three infants all had histories of duodenal ulcer. Among 33 cases of infants under 2 years old with peptic ulcer in Japan, 9 had a gastric ulcer and 24 had a duodenal ulcer. Seventeen were treated with conservative therapy and 16 were operated on because of perforation or bleeding. We should always keep in mind that peptic ulcer does occur in infancy, and that endoscopic examination should be promptly performed when peptic ulcer is suspected.