Analysis of gastrointestinal tract pathology structure in children

Summary. Diseases of the digestive system occupy one of the leading places in the structure of somatic pathology in childhood. The prevalence of chronic diseases of the gastroduodenal zone, intestines, liver and biliary tract in children is growing both in Ukraine and in the countries of Western Europe and North America. The structure of the pathology of the digestive system is made up of anomalies and malformations, functional and organic diseases and neoplasms. In young children functional disorders predominate, while in adolescents the number of inflammatory, organic diseases of the stomach, duodenum and large intestine increases significantly. The dependence of the incidence rate on the time of year remains. The number of cases of combined pathology and comorbid diseases also tends to increase. Modern diagnostic methods make it possible to identify and differentiate diseases at an early stage. This improves the prognosis significantly. Aim of the research to analyze the structure and characteristics of diseases of the gastrointestinal tract in children. Materials and methods: The results of the activity of Kharkiv Municipal Children's Hospital №19" for 2017-2019 were analyzed according to the specialized department of pediatric gastroenterology. Results. During the period of observation of the gastrointestinal disease, 8511 patients were diagnosed: in 2017 - 3042; 2018 - 2836; 2019 - 2633. The structure of pathology was dominated by diseases of the stomach and duodenum: 2017 - 2068/3042 (67.98 ± 0.84%), 2018 - 2007/2836 (70.76 ± 0.81; 2019. - 1781/2633 (67.64 ± 0.91%). Diseases of the liver and biliary tract, as well as diseases of the pancreas and intestines, were the second and the third in terms of prevalence, respectively. Conclusions. 1. pathology of the digestive system occupies a leading place in the structure of children morbidity in Ukraine as a whole, and in the Kharkiv city; 2. there is a tendency to decrease the hospitalization of children with gastrointestinal diseases 3. among gastrointestinal diseases the first place is occupied by pathology of the stomach and duodenum; 4. children under 12 years old are dominated by functional disorders; 5. there is a need for early diagnostics and treatment of children in medical institutions.