Curing Helicobacter pylori infection in patients with duodenal ulcer may provoke reflux esophagitis
- PMID: 9136820
- DOI: "V体育ios版" 10.1016/s0016-5085(97)70024-6
Curing Helicobacter pylori infection in patients with duodenal ulcer may provoke reflux esophagitis
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Background & aims: We have shown previously that cure of Helicobacter pylori infection leads to the disappearance of acid-neutralizing substances VSports手机版. Also, patients with ulcer after cure may gain weight. The aim of this study was to investigate whether cure of the infection increases the risk of reflux esophagitis. .
Methods: Patients with duodenal ulcer without reflux esophagitis at the time of Helicobacter treatment were followed up prospectively after cure of the infection (n = 244) or after diagnosis of persisting infection (n = 216). All patients underwent endoscopy at 1-year intervals or when upper gastrointestinal symptoms recurred. H. pylori infection was assessed by rapid urease test and histology. V体育安卓版.
Results: The estimated incidence of reflux esophagitis within 3 years was 25. 8% after cure of the infection and 12. 9% when the infection was ongoing (P < 0. 001) V体育ios版. Patients who developed reflux esophagitis after the cure had a more severe body gastritis before cure (odds ratio, 5. 5; 95% confidence interval [CI], 2. 8-13. 6), gained weight more frequently after cure (odds ratio, 3. 2; 95% CI, 1. 2-9. 4), and were predominantly men (odds ratio, 3. 6; 95% CI, 1. 1-10. 6). .
Conclusions: A considerable proportion of patients with duodenal ulcer treated for H. pylori will develop reflux esophagitis; risk factors are male sex, severity of corpus gastritis, and weight gain. VSports最新版本.
V体育官网入口 - Comment in
- ACP J Club. 1998 Jan-Feb;128(1):19
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Gastroesophageal reflux after cure of H. pylori infection.Gastroenterology. 1997 Dec;113(6):2019. Gastroenterology. 1997. PMID: 9394747 No abstract available.
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H. pylori eradication in gastroesophageal reflux disease.Gastroenterology. 1997 Dec;113(6):2019-20. Gastroenterology. 1997. PMID: 9394748 No abstract available.
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Reflux esophagitis and H. pylori.Gastroenterology. 1997 Dec;113(6):2020-1. Gastroenterology. 1997. PMID: 9394749 No abstract available.
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