Eosinophilic Gastritis in a Child. How to Suspect? Diagnostic Criteria

Study Objective: to investigate the association of dyspepsia and heartburn in school-age children. Study Design: A continuous epidemiological screening of heartburn and dyspepsia in school-age children was carried out using a single- point (transverse) method. Material and Methods. A total of 328 children were examined (163 boys and 165 girls, mean age 12.4 years). Heartburn was determined according to the recommendations of the international pediatric consensus on gastroesophageal reflux disease. Dyspepsia was diagnosed in accordance with the pediatric section of the Rome IV criteria. Study Results. The prevalence of dyspepsia syndrome was 14.0%, heartburn — 10.4%. Increasing age in children was a risk factor for dyspepsia. The frequency of heartburn was registered in 39.1% of patients with dyspepsia and only in 5.7% of those without dyspepsia (p < 0.001). The prevalence of overlap syndrome of dyspepsia and heartburn in school-age children was 5.5%. Conclusion. The association of heartburn and dyspepsia in school-age children is a real problem that requires the attention of practitioners. Keywords: gastroesophageal reflux disease, dyspepsia, overlap syndrome, children.