International Union for Circumpolar Health Ministry of Public Health and Social Development of RF Russian Academy of Medical Sciences Siberian Branch of Russian Academy of Medical Sciences Siberian Branch of Russian Academy of Sciences Medical Polar Fund “Science” The Northern Forum

Abstracts

Child health. Women`s health

The absence of clear interconnection between clinical signs and the character of gastroduodenum sector disturbances causes the necessity of studying the formation and nosological forms of stomach pathology and stomach dyspepsia syndrome (SDS). The SDS problem is one of the most understudied areas of children gastroenterology.

We carried out one-time examination for schoolchildren in three regions. We tested 1906 children in three Europoid groups (276 children in Tyva, 395 in Central Evenkia and 801 in Circumpolar area) and two Mongoloid groups (321 Tyvins and 114 Evenks).

The methods: clinical examination, questioning, esophagogastroduodenoscopia. SDS diagnosis was carried out according to Rome Criteria (1999). The highest indices of SDS prevalence were found in Evenkia children of both ethnic groups, especially in the Evenks. The lowest indices of SDS prevalence were found in the Tyvins, which is explained by more favourable ecological conditions and better adaptation to regional conditions. We marked definite characteristics of SDS clinical conditions in the studied territory and ethnic groups. SDS condition in children in alien and native population was more often characterized by abdominal pain. SDS share increased in the structure of relapsing stomach pains. In children of all groups in northern territories (Evenkia, Circumpolar area) SDS had longer duration (more years), higher duration of signs during a year and showed clearer clinical symptoms. More negative characteristics of clinical condition in schoolchildren in Northern territories were marked under risk factors (family predisposition to the pathology of digestive intestine tract, somatic infection, infection pathology, pregnancy and delivery pathology in mother. We marked definite territory and ethnic peculiarities in SDS schoolchildren in the characteristics of associated gastroduodenum pathology. Evenkia children showed better expressed pathological changes in gastroduodenum sector (the presence of erosive-ulcer pathology was statistically more prevalent) less evident in Circumpolar area children, despite the extreme character of climatic geographical conditions of the environment.

So, the indices of SDS clinical conditions and prevalence and associated pathology process in gastroduodenum sector has territory and ethnic peculiarities. Ecological conditions of the Extreme North provide negative influence on the formation and characteristics of SDS clinical conditions, but are different in the terms of their influence on pathology process.

Note. Abstracts are published in author's edition

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Last update: 06-Jul-2012 (11:52:05)