Particularites des ulceres gastro-duodenaux chez l'enfant

The gastro-duodenal ulcer is rare in the child. Gastro-duodenal ulcer is typically secondary to systemic illness or drugs in young children. In contrast, duodenal ulcers in older children and adolescents has a relapsing course that is increasingly recognised to be related to coexisting, chronic antral gastritis and helicobacter pylon infection. The symptomalogy is different from this in the adult. The functional syndrome takes its typical character only at the approach of the puberty dominated by the abdominal pains. The haemorrhage complications are well revealing. The diagnosis is secured by the radiology and/or the fibroscopy which constitutes at present the choice examination. Endoscopy is now recommended in first intention particularly in the case of a haemorrhage. The treatment is medical if there are no complications; anti secretors are used in the treatment

hyperoxalurie hereditaire [oxalose] [a propos d'un cas]

We report one case primary hyperoxaluria in a fourteen year old child. The diagnosis was possible after the discovery of oxalate of Ca crystals in kidneys and marrow. Our case illustrates some of the clinical and paraclinical characteristics of oxalosis. It also proves how severe the kidney failure could be in this disease. The diagnosis criteria and the therapeutic possibilities that lead to improve this diseasee are also discussed here

PH-metrie oesophagienne de longue duree chez l'enfant [aspects pratiques et indications]

Atwenty four hour continous esophageal pH monitoring hase become the reference method for the diagnosis of gastroesophageal reflux in pediatric patients. This review was undertaken to evaluate methodologic problems raised by this method, involving selection of the electrode, selection of the equipment and indication according to the patient's symptoms. Emphasis in put on the value of esophageal Ph recordings for the evaluation of medical or surgical therapies