HELICOBACTER-PYLORI INFECTION IN A CHILD WITH GASTRIC AUGMENTATION

The existence of Helicobacter pylori (HP) infection in those children who had previous bladder augmentation with gastric patch has not been described before. In this report, a girl with bladder exstrophy, who p reviously underwent gastric augmentation is presented. She had multipl e admissions to our unit with persisting urinary symptoms (perineal pa in, dysuria, hematuria) and gastric symptoms as well. Enzyme-linked im munosorbent assay (ELISA) test results for HP infection were positive, and plasma gastrin level was high. The histopathologic examination of the biopsy specimen showed HP infection in the gastric part of the re constructed neobladder. This report indicates that the pediatric surge on should think about HP infection in gastrocystoplasty patients to el iminate the potential risks of HP colonization. Copyright (C) 1997 by W.B. Saunders Company.