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2012, Number 4

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Correo Científico Médico 2012; 16 (4)

Chronic antral gastritis for Helicobacter pylori and gastroesophageal reflux disease

Mulet PAM, Gámez EMM, Tamayo OM, Escobar BA, Pozo AH, Verdecia CAM

Language: Spanish
References: 16
Page:
PDF size: 343.18 Kb.


ABSTRACT

Background: The chronic antral gastritis for Helicobacter pylori (H pylori) and gastroesophageal reflux disease (GERD) are frequent affections that can coexist. The possible influence of the infection for H pylori on the GERD is a controversial theme. Objectives: Estimating the histopathological behavior of the chronic antral gastritis for H pylori according to the presence or no of GERD with and without oesophagitis. Methods: Case-control study. Universe: the total of patients attended during January 2008- January 2009 in Gastroenterología's Service of the Teaching Hospital of Holguín, with endoscopy and gastric antral diagnostic biopsy of chronic antral gastritis and infection by H pylori. Two samples: A study group with GERD’s symptoms (38 patients); control group without GERD (59 patients). Results: Bigger significant proportion of chronic antral quiescent gastritis in the patients with GERD, 11 (0.2895), group control, 3 (0.0508). The moderate severe grade of lesion in both groups predominated: I study, 29 (0, 7632), control, 51(0.8644), without significant difference. Preponderated the density moderated abundantly of colonization by H pylori in both groups, study 20(0.5263) and control 43(0.7288), with significant difference in favor of the last. The density moderated abundantly predominated in the GERD without oesophagitis without significant difference of the GERD with oesophagitis. Conclusions: The bigger proportion of chronic antral quiescent gastritis in the patients with GERD and the predominance of the abundant density and moderated of the colonization for H pylori in the patients without GERD they back up the possibility of a protective effect of H pylori against the GERD.


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