‫ד"ר שלומי כהן‬
‫יחידה לגסטרו ילדים‬
‫בית חולים דנה‬
‫‪Case Report‬‬
‫בת ‪ 12‬שנים‪ ,‬בריאה בד"כ‪.‬‬
‫מזה כחודש כאב בטן עליונה‪ ,‬מלווה בצרבת‪ ,‬ללא‬
‫בחילה או הקאה‪.‬‬
‫בדיקות הדם – ס"ד ‪ ,‬ברזל‪ ,‬כימיה‪ ,‬סרולוגיה‬
‫לצליאק תקינות ‪.‬‬
‫‪ US‬בטן תקין‪.‬‬
‫‪Case Report‬‬
‫בגסטרוסקופיה ‪ -‬גסטריטיס נודולרית עם‬
‫ארוזיות‪ HP .‬שלילי‪.‬‬
Case Report
1. Gastric tuberculosis
2. Amyloidosis
?
3. Collagenous gastritis
4. Sarcoidosis
Collagenous Gastritis
A rare entity of unknown etiology.
Described in children and adults.
Defined histologically by the presence of a
thickened ,focal, subepithelial collagen band
with an increase in inflammatory cell
infiltration of the lamina propria with
entrapment of capillaries.
This histologic pattern is similar to that in
collagenous colitis.
Collagenous Gastritis
Presenting symptoms in children are UGI
symptoms - epigastric pain, hematochezia,
anemia , in adults - diarrhea.
The endoscopic findings in children are
more impressive then in adults: erosive
gastritis ,hemorrhage.
Collagenous Gastritis
Therapy according to case reports only:
gastric acid suppression, steroids,
sulfasalazine ??
Therapy did not have a consistent effect
on the thickness of the collagen band,
but improvement of the clinical picture
was achieved.