STUDY OF BONE TISSUE CHANGES IN CHILDREN WITH CHRONIC GASTRODUODENITIS

Authors

  • I. M. Horishnyi I. Horbachevsky Ternopil State Medical University
  • M. I. Horishnyi I. Horbachevsky Ternopil State Medical University
  • O. M. Mochulska I. Horbachevsky Ternopil State Medical University
  • I. B. Chornomydz I. Horbachevsky Ternopil State Medical University
  • O. B. Synoverska I. Horbachevsky Ternopil State Medical University

DOI:

https://doi.org/10.11603/24116-4944.2019.1.10170

Keywords:

osteologic pathology, densitometry, mineral metabolism, alkaline phosphatase, gastroduodenitis

Abstract

The aim of the study – to investigate the biochemical parameters of mineral metabolism and the results of densitometry in children with chronic gastroduodenitis.

Materials and Methods. We examined 30 children with chronic gastroduodenitis aged 5–14 years in the period of exacerbation of the disease, with a disease duration of 1–5 years. In addition to the generally accepted laboratory and instrumental examinations, densitometry was conducted to determine the bone density in the lumbar region of the spine, the content of minerals in the bone in grams, the vertebral area, height and their volume in cubic cm, as well as the biochemical blood test (calcium, phosphorus, magnesium, alkaline phosphatase).

Results and Discussion. Analysis of the data shows that in children with chronic gastroduodenitis, mineral metabolism is disturbed, bone changes develop (osteoporosis or osteosclerosis). With osteoporosis against the backdrop of hypophosphatemia, hypermagneemia, with increased activity of alkaline phosphatase, mineralization of the bone, area and volume of the vertebrae decrease. In osteosclerosis, hypocalcemia, hyperphosphatemia, hypermagneemia with normal enzymatic activity of alkaline phosphatase lead to an increase in bone mineralization, increase in volume and area of ​​the vertebrae.

Conclusion. The results of the studies showed the presence of signs of osteoporosis and osteosclerosis against the background of disturbed mineral metabolism, depending on the activity of alkaline phosphatase, indicating the need to find correction of the detected changes.

References

Maydannik, V.G. Korneychuk V.V., Khaytovich, N.V., & Saltikova, G.V. (2008). Zabolevaniya pishchevoda, zheludka i dvenadsatyperstnoy kishky u detey [Diseases of the esophagus, stomach and duodenum in children]. Kiev: VB “Avanpost-Prym” [in Ukrainian].

Kvashnina, L.V., Apukhovska, L.I., & Rodionov, V.P. (2004). Osoblyvosti kaltsii fosfornoho obminu u zdorovykh ditei v suchasnykh umovakh ta optymizatsiia metodiv profilaktyky yoho porushen [Features of calcium phosphorus metabolism in adolescent children in contemporary conditions and optimization of the methods of prolacting its disorders]. Perynatolohiia ta pediatriia – Perinatology and Pediatrics, 1, 29-32 [in Ukrainian].

Malinin, V.L. (2006). Еpidemiologicheskiye aspekty osteopenii u podrostkov і yunoshey Sankt-Peterburga [Epidemiological aspects of osteopenia in teenagers and young men of St. Petersburg]. Travmatologiya i ortopediya Rossii – Traumatology and Orthopedics, 2, 192 [in Russian].

Shcheplyagina, L.A., Moyseeva, T.Yu., & Kovalenko, M.V.

(2005). Osteopeniya u detey: diagnostika, profilaktika i korrektsiya: posob. dlya vrachey [Epidemiological aspects of osteopenia in teenagers and young men: guidelines for doctors]. Мoscow [in Russian].

Povorozniuk, V.V. (2004). Zakhvoriuvannia kistkovo-miazovoi systemy v liudei riznoho viku (vybrani lektsii ohliady, statti): u 2 t. [Diseases of the bone and myaenoic system in people of all ages (selected lectures, reviews, articles): in

vol.]. Kyiv [in Ukrainiain].

Povorozniuk, V.V. (1999). Strukturno-funktsionalnyi stan kistkovoi tkanyny u ditei ta pidlitkiv Ukrainy: dani ultrazvukovoi densytometrii [Structural and functional state of bone tissue in children and adolescents in Ukraine: data of ultrasonic densitometry]. Рediatriia, akusherstvo ta hinekolohiia – Pediatrics, Obstetrics and Gynecology, 4, 154 [in Ukrainian].

Frank, R. Greeg, & Nancy, F. Krebs (2006). Optimizing bone health and calcium intakes of infants, children, and adolescents. Pediatrics, 117, 2, 578-585.

Kinuta, K., & Seino, Y. (2004). Prevention of osteoporosis in childhood adolescence. Clin. Calcium, 14 (11), 1709-1713.

Published

2019-06-11

How to Cite

Horishnyi, I. M., Horishnyi, M. I., Mochulska, O. M., Chornomydz, I. B., & Synoverska, O. B. (2019). STUDY OF BONE TISSUE CHANGES IN CHILDREN WITH CHRONIC GASTRODUODENITIS. Actual Problems of Pediatrics, Obstetrics and Gynecology, (1), 15–18. https://doi.org/10.11603/24116-4944.2019.1.10170

Issue

Section

PEDIATRICS