What causes upper gastrointestinal (GI) bleeding in children younger than 2 years?

Updated: Dec 19, 2018
  • Author: Wayne Wolfram, MD, MPH; Chief Editor: Robert K Minkes, MD, PhD  more...
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Answer

In children older than 1 year, peptic ulcer disease is a common cause of hematemesis. The etiologies, which include NSAID use, are similar to those mentioned in the above discussion of gastritis.

When an ulcer not associated with H pylori infection is diagnosed, a fasting plasma gastrin level is measured to exclude Zollinger-Ellison syndrome.

Most of the peptic ulcers occurring in children of this age range are secondary to other systemic diseases, such as burns (Curling ulcer), head trauma (Cushing ulcer), malignancy, or sepsis.


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