Wu B, Zheng CQ. Relationship among Helicobacter pylori infection, gut hormones and diabetic gastroparesis.
Shijie Huaren Xiaohua Zazhi 2010;
18:1616-1619. [DOI:
10.11569/wcjd.v18.i15.1616]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
AIM: To investigate the relationship among serum gastrin (GAS) and somatostatin (SS) and Helicobacter pylori (H.pylori) in patients with diabetic gastroparesis (DGP).
METHODS: Fifty-six patients with type 2 diabetes mellitus were divided into simple diabetes mellitus group and DGP group. Forty-seven non-diabetes mellitus patients were divided into control group and simple gastroparesis group. H.pylori infection in the mucosa of sinus ventriculi was evaluated by rapid urease test and Giemsa staining. The contents of serum GAS and SS were measured by radioimmunoassay.
RESULTS: There was no significant difference between the rapid urease test and Giemsa staining in detecting H.pylori. The detection rate of H.pylori was comparable between the simple diabetes mellitus group and the control group. The detection rate of H.pylori was higher in the simple gastroparesis group than in the control group (rapid urease test: 73.3% vs 47.1%, P < 0.05), and in the DGP group than in the control group (rapid urease test: 87.8% vs 47.1%, P < 0.01; Giemsa staining: 81.9% vs 41.2%, P < 0.01), the simple diabetes mellitus group (rapid urease test: 87.8% vs 47.8%, P < 0.01; Giemsa staining: 81.9 % vs 43.5%, P < 0.05) and the simple gastroparesis group (rapid urease test: 87.8% vs 73.3%, P < 0.01; Giemsa staining: 81.9% vs 66.7%, P < 0.01). In H.pylori-positive patients, the level of serum GAS in the DGP group was higher than that in the control group (147.58 ± 16.68 vs 80.91 ± 15.23, P < 0.01), and the level of serum SS in the DGP group was lower than that in the control group (16.29 ± 4.27 vs 47.81 ± 16.88, P < 0.01). In H.pylori-negative patients, there was no significant differences in serum GAS and SS levels between different groups.
CONCLUSION: H.pylori infection can increase serum GAS level but decrease serum SS level. The pathological alterations in the gastric mucosa induced by H.pylori infection are closely related with the development of DGP.
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