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
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
References:
- Dedov I.I., Tjul'pakov V.P., Chehonin V.P. i dr. Personalizirovannaja meditsina: sovremennoe sostojanie i perspektivy. Vestnik RAMN. 2012; 67 (4): 4–12 [Dedov I.I., Tyulpakov A.N., Chekhonin V.P. i dr. Personalized medicine: State-of-the-art and prospects. Annals of the Russian academy of medical sciences. 2012; 67 (4): 4–12 (in Russ.)].
- Jain K.K. From molecular diagnostics to personalized medicine. Expert Rev Mol Diagn. 2002; 2 (4): 299–301. DOI: 10.1 586/1 47371 59.2.4.299
- Gerasimenko N.F., Milushkina O.Ju., Popova V.I. i dr. Zdorov'e molodezhi: novye vyzovy i perspektivy. Monografija v 5 t. T.1: Sostojanie zdorov'ja detej i podrostkov: federal'nye i regional'nye aspekty. M.: Izdatel'stvo «Nauchnaja kniga», 2019; s. 8–18 [Gerasimenko N.F., Milushkina O.Yu., Popova V.I. i dr. Zdorov’e molodezhi: novye vyzovy i perspektivy. Monografiya v 5 t. T.1: Sostoyanie zdorov’ya detei i podrostkov: federal’nye i regional’nye aspekty. M.: Izdatel’stvo «Nauchnaya kniga», 2019; s. 8–18 (in Russ.)].
- Anisimova E.N. Antropometricheskie harakteristiki i biohimicheskie pokazateli krovi junoshej razlichnyh tipov teloslozhenija. Avtoref. dis. … kand. med. nauk. Krasnojarsk, 2004; 25 s. [Anisimova E.N. Antropometricheskie kharakteristiki i biokhimicheskie pokazateli krovi yunoshei razlichnykh tipov teloslozheniya. Avtoref. dis. … kand. med. nauk. Krasnoyarsk, 2004; 25 s. (in Russ.)].
- Sergejchuk E.V., Somova A.D., Bagaturija G.O. i dr. Topografoanatomicheskoe obosnovanie konstitutsional'nyh osobennostej laparoskopicheskogo dostupa k organam brjushnoj polosti. FORCIPE. 2019; 2 (1): 19–22 [Sergeichuk E.V., Somova A.D., Bagaturia G.O. et al. Topographic and anatomical substantiation of the constitutional features of laparoscopic access to the abdominal organs. FORCIPE. 2019; 2 (1): 19–22 (in Russ.)].
- Nikitjuk D.B. Antroponutritsiologija v reshenii problem zdorov'esberezhenija i profilaktiki alimentarno-zavisimyh zabolevanij. Voprosy pitanija. 2018; 87 (5): 68 [Nikityuk D.B. Antroponutritsiologiya v reshenii problem zdorov’esberezheniya i profilaktiki alimentarno-zavisimykh zabolevanii. Voprosy pitaniya. 2018; 87 (5): 68 (in Russ.)]. DOI: 10.18499/2225-7357-2018-7-4-9-19
- Shishko V.I., Petrulevich Ju.Ja. Gastroezofageal'naja refljuksnaja bolezn': anatomo-fiziologicheskie osobennosti pischevoda, faktory riska i mehanizmy razvitija (obzor literatury, chast' 1). Zhurnal GrGMU. 2015; 1 (49): 19–25 [Shyshko V.I., Petrulevich Yu.Ya. Gastroesophageal reflux disease: anatomy and physiology of esophagus, risk factors and mechanisms of development (literature review, part 1). Zhurnal GrGMU. 2015; 1 (49): 19–25 (in Russ.)].
- Sapozhnikov V.G. Ehografija zheludka i dvenadtsatiperstnoj kishki u detej (obzor literatury, kratkij). Vestnik novyh meditsinskih tehnologij. Elektronnoe izdanie. 2013; 1: 169 [Sapozhnikov V.G. Echography of the stomach and duodenum at children (review of the literature, short). Vestnik novykh meditsinskikh tekhnologii. Elektronnoe izdanie. 2013; 1: 169 (in Russ.)].
- Luneva E.V. Osobennosti pitanija i nekotorye pokazateli obmena belkov i zhirov u studentov raznyh tipov teloslozhenija. Avtoref. dis. kand. biol. nauk. Cheljabinsk, 2007; 22 s. [Luneva E.V. Osobennosti pitaniya i nekotorye pokazateli obmena belkov i zhirov u studentov raznykh tipov teloslozheniya. Avtoref. dis. kand. biol. nauk. Chelyabinsk, 2007; 22 s. (in Russ.)].
- Dombajan S.H., Panova I.V. Osobennosti izmenenija urovnja nejronspetsificheskoj enolazy u detej I–II gruppy zdorov'ja v zavisimosti ot pokazatelej fizicheskogo razvitija i pola. Vrach-aspirant. 2016; 2.2 (75): 273–8 [Dombayan S.H., Panova I.V. Special aspects of change of neural-specific enolase among children with I-II health group depending on somatic growth indices and gender. Vrach-aspirant. 2016; 2.2 (75): 273–8 (in Russ.)].
- Balko O.A. Konstitutsional'nye osobennosti techenija hronicheskogo gastroduodenita assotsiirovannogo s H.pylori u detej. Klinicheskaja meditsina i farmakologija. 2020; 6 (1): 32–8 [Balko O.A. Constitutional features of the course of chronic gastrododudenitis associated with H.pylori in children. Klinicheskaya medicina i farmakologiya. 2020; 6 (1): 32–8 (in Russ.)]. DOI: 10.12737/2409-3750-2020-6-1-32-38