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Some constitutional features of the course of chronic gastroduodenitis in children (a cross-sectional study)

DOI: https://doi.org/10.29296/25877305-2021-01-08
Issue: 
1
Year: 
2021

O. Balko, V. Sapozhnikov, MD Medical Institute, Tula State University

Constitutional features are the fundamental basis for the whole body’s activity and the fairly stable complex biological characteristic of a person, which determine a variant of an adaptive norm that reflects the reactivity of the organism and resistance to environmental factors. Objective: to investigate the constitutional features of the course of chronic gastroduodenitis in children aged 4–17 years. Subjects and methods. The paper presents the results of studying 180 inpatients diagnosed with chronic gastroduodenitis. The age and gender compositions and constitution types were assessed according to the classification proposed by M.V. Chernorutsky (on the basis of the Pigne index). The clinical and anamnestic and laboratory and instrumental features of the course of chronic gastroduodenitis were noted in one or another somatotype. The impact of the constitutional specificity of a patient on the course of the disease was analyzed and evaluated. Results and discussion. Asthenics were found to be more prone to chronic gastroduodenitis than normosthenics and hypersthenics. The asthenics and hypersthenics were prone to superficial gastroduodenitis, while the normosthenics had more severe manifestations as erosive and hypertrophic lesions involving the mucous membrane. The hypersthenics were less susceptible to Helicobacter pylori colonization of the gastric and duodenal mucosa than the asthenics and normostenics. Conclusion. The asthenic constitution type, unlike the normosthenic one, predisposes to the frequent development of chronic gastroduodenitis in children with a mild course of the disease; the hypersthenic constitution type as a whole is a protective factor in the development and course of the disease.

Keywords: 
gastroenterology
somatotype
gastroduodenitis
Helicobacter pylori
asthenic
normosthenic
hypersthenic



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