[Gastroduodenal pathology in pyelonephritis in children]. / Gastroduodenal'naia patologiia pri pielonefritakh u detei.

The authors describe lesions of the upper alimentary tract in 91 children aged 4 to 15 years suffering from pyelonephritis. Intragastric pH-metry, endoscopy and histological examination of biopsy specimens from the gastric and duodenal mucosa were carried out, as a result of which gastroduodenal pathology was diagnosed in 3/4 of the patients. In 69.4% of the children, biopsy specimens of the mucous membrane of the antrum of the stomach showed Campylobacter pylori. Such combined pathology requires, in addition to the treatment of pyelonephritis correction of the diet, administration of agents that may contribute to the decrease of upper alimentary tract inflammation. If Campylobacter pylori are detected, the treatment eliminating those bacteria is to be administered.

[Value of the ultrasonic method of examining children under 1 year of age with pyelonephritis]. / Znachenie ul'trazvukovogo metoda issledovaniia pri pielonefrite u detei pervogo goda zhizni.

The paper treats the experience gained with the use of ultrasonography for investigation of the urinogenous organs in pyelonephritis children of the first year of life. The clinicolaboratory parameters as well as the data of the instrumental research methods including the roentgenourologic and echographic data were analyzed. This made it possible to define the importance of ultrasonography in these patients' examination and the examination routine. It is concluded that ultrasonography of the urinogenous organs in pyelonephritis children of the first year of life in one of the principal research methods, which should be performed before the use of other instrumental methods. Based on the echographic appearance approximately 1/3 of the children with pyelonephritis were suspected to have congenital developmental diseases of the urinogenous organs, whose nature was unraveled and specified by excretory urography. One should not exaggerate or underestimate the significance of each research method. Of importance are also the results of clinical, laboratory, echographic and x-ray studies.