Состояние верхних отделов пищеварительного тракта при различных вариантах базисной терапии бронхиальной астмы у детей

The purpose of the study is to investigate the state of the upper gastrointestinal tract (UGIT) in various types of basic treatment of children’s bronchial asthma. There was conducted a clinical-instrumentalsurvey of children with bronchial asthma. They have been receiving a basic anti-inflammatory therapy inhaled glucocorticosteroids (IGCS) (1st group, n=33) or anti-inflammatory cromone drugs (2nd group, n=33) for 3 years and more. Most of the children with the bronchial asthma complained about the gastrointestinal problems, mostly abdominal pain; the heartburn was recorded reasonably oftener in the children of 1st group. While conducting endoscope survey, 97% of children of 1st group were revealed having the UGIT pathology. As the result of microscopy of gastric mucosa bioptic sample, most of the patients of 1st group appeared having fungal infection; the significant lymphoplasmacytic or eosinophilic infiltration in own layer of the gastric mucosa was determined. Moreover, H. pylori was revealed more frequently for the children of 1st group, and the level of invasion was higher. The data given indicate the need for measures limiting the entry of steroids into GIT, as well as the use of medicines that reduce damaging effect of IGCS on the mucous layers.