Optimization of rehabilitative therapy of the children presenting with erosive lesions in the upper segments of the gastrointestinal tract

The present study is based on the results of the clinical and instrumental observations of 487 patients at the age varying from 7 to 10 years (37%) and from 11 to 15 years (56%) presenting with chronic erosive gastroduodenitis (CEG) (n = 128) and ulcer disease (UD) (n = 70). The analysis of life and medical histories of the children demonstrated ineffectiveness of the previous medicament therapy. Esophagogastroduodenoscopy (EGDS) was performed in combination with the study of mucosal biopsies from the antrum of the stomach and the identification of H.pylori by the histobacteriological Giemsa method. Intragastric pH-metry carried out using a Gastroscan-24 apparatus was supplemented by the ultrasound study of the digestive organs. The electric resistance of the skin (ERS) was measured at the active points E-36, MC-6, Tr-5, VC-12. The analysis of the ERS data at the biologically active points (BAP) of the meridians of interest in the patients with CEG and UD has demonstrated that most of them (98.4% and 100% respectively) were not ready for ultrahigh frequency (UHF) therapy and needed to be preliminarily reduced to the normal values with the use of the Self Controlled Energo-Neuro-Adaptive Regulator (SKENAR). All the patients were prescribed eradication therapy following ERS equalization at the biologically active points. The patients were discharged from the hospital in the state of clinical-endoscopic remission and normal results of pH-metry within 6-8 weeks after admission. The repeated examination of 95 patients with CEG and 45 children with UD was undertaken 1-1.5 years after the primary one. It revealed clinical and endoscopic remission as well as normal results of gastric pH-metry in the absence of H. pylori infection. Most BAPs (96.0% and 93.3% respectively) had normal ERS values. Patients presenting with the morphological signs of surface gastritis were prescribed UHF monotherapy. It is concluded that UHF therapy should be recommended after preliminary diagnostics with the use of SKENAR at various stages of the patients’ rehabilitative treatment in order to reduce the medicamental burden and prolong clinical-endoscopic remission in the cases of long-term therapy of the patients suffering from CEG and UD.

children, chronic gastroduodenitis, duodenal ulcer, physiopuncture