TÌNH TRẠNG THIẾU MÁU THIẾU SẮT VÀ CÁC YẾU TỐ LIÊN QUAN GÂY THIẾU MÁU THIẾU SẮT Ở TRẺ VIÊM LOÉT DẠ DÀY TÁ TRÀNG TẠI BỆNH VIỆN NHI ĐỒNG CẦN THƠ

Abstract

Background: Peptic ulcer disease is a common gastrointestinal condition in children and can lead to iron deficiency anemia. However, the risk factors associated with this condition remain poorly understood. Objective: To describe the clinical and paraclinical characteristics of 112 children with peptic ulcers and to determine the prevalence of iron deficiency anemia, along with the factors related to its occurrence in children with peptic ulcers at Can Tho Children's Hospital. Materials and Methods: A cross-sectional descriptive study was conducted on all children aged 516 years diagnosed with peptic ulcers and treated at Can Tho Children's Hospital. Results: All 112 children had abdominal pain (100%), predominantly in the epigastric region (84.8%). Other symptoms included vomiting (49.1%), acid reflux (33.9%), epigastric burning sensation (29.5%), poor appetite (8.9%), hematemesis (7.0%), and melena (11.4%). The prevalence of iron deficiency anemia in this group was 7.1%. Symptoms of iron deficiency anemia included pallor (100%), pale skin (87.5%), and pale palms (50%). Hemoglobin (Hb), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and serum iron and ferritin levels were significantly lower in the iron-deficient group. Risk factors related to iron deficiency anemia included age group, maternal education level, and the location of lesions observed on endoscopy. Conclusion: Children with peptic ulcers present with nonspecific symptoms. The prevalence of iron deficiency anemia in children with peptic ulcers is 7.1%. Age group, maternal education level, and the location of lesions on endoscopy are factors associated with iron deficiency anemia.