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KMID : 0816120120150040266
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Korean Journal of Pediatric Gastroenterolology and Nutrition
2012 Volume.15 No. 4 p.266 ~ p.271
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A Case of Small Bowel Ulcer Associated with Helicobacter pylori
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Kim Eun-Young
Woo Saet-Byul
Lee Jeong-Won
Lee Kon-Hee
Lee Jee-Hyun
Shin Su-Rin
Kim Ji-Hyun
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Abstract
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The etiology of peptic ulcer disease in children may be primary, associated with Helicobacter pylori infection, or secondary, relied on underlying disease. Ulcerative lesions by H. pylori are mainly distributed in the duodenal bulb and they are rare below the ampulla of Vater because H. pylori growth is inhibited by bile juice. In this reason, there are only some restrictive reports presented small bowel ulcer associated H. pylori. We found multiple small bowel ulcerative lesions associated with H. pylori in an 11-year-old girl without any systemic disease while performing esophagogastroenteroscopy to the level of the proximal jejunum for differentiating bezoar. The abdominal pain improved after the patient was administered H. pylori eradication therapy. Because a small bowel ulcer associated with H. pylori has rarely been reported, we report it here with literature review.
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KEYWORD
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Helicobacter pylori, Small bowel, Ulcer, Jejunum
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