過去5年間に観察し得た小児消化性潰瘍20例の臨床的検討

Abstract

Clinical investigation was performed in 20 children with peptic ulcer from 1983 to 1988 in our Department of Nara Prefectual Hospital. This disease was common in older children and occured more often in boys than in girls. Epigastric pain was the most common manifestation, but melena, hematoemesis or vomiting was seen in some of the children. There was a tendency for this disease to occur in the spring or fall, and most of the children were faced with emotional conflict in their family or in their school. From these results, it was suggested that repeated epigastric pain in older children should raise suspicion of a peptic ulcer, and that the emotional interaction of the children may play an important role in this disease of childhood.