Ribeiro ICS, Kubrusly LF, Nassif PAN, Ribeiro PFS, Veras RDO, Neppel A. RELATIONSHIP BETWEEN THE PRESENCE OF HELICOBACTER PYLORI WITH INFLAMMATORY ENDOSCOPIC CHANGES IN GASTRODUODENAL MUCOSA.
ABCD-ARQUIVOS BRASILEIROS DE CIRURGIA DIGESTIVA 2016;
29:142-145. [PMID:
27759774 PMCID:
PMC5074662 DOI:
10.1590/0102-6720201600030004]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/29/2016] [Accepted: 04/14/2016] [Indexed: 01/16/2023]
Abstract
Background:
The influence of Helicobacter pylori (HP) in inflammatory disorders of the
digestive mucosa has been the subject of several studies since socioeconomic,
personal and environmental factors were implicated in the bacteria transmission.
Aim:
To correlate the inflammatory endoscopic findings with HP infection and the onset
of mucosal diseases mucous of the upper digestive tract.
Method:
Comparative observational study, in which were collected data from 2247 patients
who underwent upper endoscopy and biopsies for HP with urease test. The patients
were divided into two groups: HP+ and HP- (control) in which endoscopic findings
were observed for the following changes: esophagitis, esophageal ulcer, gastritis,
erosive gastritis, gastric ulcer, bulboduodenitis, bulbar ulcer and without
disease.
Results:
As for esophagitis, there was little disparity in the distribution favorable to
HP+ group (HP+ =67.11% and HP- =69.89%) and esophageal ulcer (HP+ =0% and HP- =0,
21%). Gastritis was favorable to HP- group (HP+ =78.34% and HP- =73.63%), as well
as erosive gastritis (HP+ = 67,11% and HP- = 64,55%), in bulboduodenitis (HP+
=1,87% and HP- 1,23%), in gastric ulcer (HP+ =2,14% and HP- =2,03%) and in the
absence of alterations in the HP+ group (4.81%) with the HP- control group
(6,30%), in which there was little disproportion in favor of HP- group, but
without statistical significance. As for the bulbar ulcer (HP +=10.16% and HP-
=4.48%), there was statistically significant (p=0.00001).
Conclusion:
There is no difference between HP+ and HP- groups in inflammatory changes in
endoscopic gastroduodenal mucosa, except for the relationship between HP and
bulbar ulcer.
Collapse