scholarly journals What Predicts Peptic Ulcer in Patients Referred for Endoscopy?

2019 ◽  
Vol 1 (1) ◽  
pp. 1-8
Author(s):  
Omran Habib ◽  
Rifka Abdul-Wahab
Keyword(s):  
Peptic Ulcer ◽  
Clinical Manifestations ◽  
Diagnostic Techniques ◽  
Cross Sectional Study ◽  
Endoscopic Examination ◽  
Peptic Ulcers ◽  
Gastric Lesions ◽  
Information Sheet ◽  
Cross Sectional ◽  
H Pylori

Background: Peptic ulcers and other gastric lesions are significant medical conditions. Endoscopy is one useful diagnostic tool, the use of which is dependent on patient selection. Objectives: This study attempts to explore how predictive selected symptoms may be, along with their characteristics in diagnosing peptic ulcers and other gastric lesions in patients undergoing endoscopy. Methods: A cross-sectional study was conducted with 152 patients referred to the endoscopic unit at Al-Sadr teaching hospital in Basrah. The patients were carefully interviewed to determine clinical and sociodemographic characteristics. They were subjected to endoscopic examination by a specialist physician, and their results were recorded on the same information sheet. Data were analyzed using the Statistical Package for Social Science, version 20. Results: Given the complexity of the risk factors, clinical manifestations and diagnostic techniques, it seems difficult to predict which patients are likely to have peptic ulcers and which are not. In this study, only self-reported stress and H pylori infection were found to significantly predict the likelihood of peptic ulcers among patients subjected to endoscopic examination. Conclusions: Patients subjected to endoscopy are expected to have a variety of gastric lesions, including peptic ulcer. A substantial proportion of these patients were entirely lesion free. Key words: Prediction, peptic ulcer, Basrah, endoscopy

scholarly journals Prevalence of Idiopathic Peptic Ulcer in Southeastern Iran

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Alireza Bakhshipour ◽  
Raheleh Rafaiee
Keyword(s):  
Peptic Ulcer ◽  
Underlying Disease ◽  
Cross Sectional Study ◽  
Rapid Urease Test ◽  
Peptic Ulcers ◽  
Igg Antibody ◽  
Cross Sectional ◽  
Urease Test ◽  
History Of ◽  
H Pylori

Background: The idiopathic peptic ulcers (IPU) or non-Helicobacter pylori, non-steroidal anti-inflammatory drug non-NSAIDs associated peptic ulcers are a serious therapeutic challenge. The prevalence of IPU is increasing in some parts of the world. Objectives: This study aimed to determine the prevalence of IPU in southeastern Iran. Methods: In this cross-sectional study, a total of 367 patients with active peptic ulcer were diagnosed by endoscopy between Jan 2018 and Feb 2019. The patients were assessed for history of medication use (including NSAIDs) in the past month, smoking, alcohol, as well as a complete history of health problems related to underlying disease such as cardiopulmonary, hepatic, renal problems, and chronic pancreatitis. Biopsy samples from antrum were performed for rapid urease test (RUT), and if RUT was negative, then biopsies were sent for histopathology. If both RUT and pathologic findings were negative for H. pylori, in patients who had treatment for H. pylori eradication, anti-H. pylori IgG antibody of blood samples was assessed. Patients were considered infected with H. pylori if any of the diagnostic tests had a positive result. Results: According to the results, 336 (91.3%) cases had at least one of the two main etiologic factors (H. pylori and NSAIDs) for peptic ulcer. While 323 (87.7%) patients were H. pylori-positive, 45 (12.3%) patients were H. pylori-negative. However, out of 45 H. pylori-negative cases, 13 patients had a positive history of using NSAIDs, and 32 (8.69%) patients were IPU. Conclusions: Our study showed that both H. pylori infection and NSAIDs use remain the main cause of peptic ulcers, and the prevalence of IPU is relatively high in Zahedan.

scholarly journals The number of household members as a risk factor for peptic ulcer disease

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Mi Hong Yim ◽  
Keun Ho Kim ◽  
Bum Ju Lee
Keyword(s):  
Peptic Ulcer ◽  
Peptic Ulcer Disease ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Living Alone ◽  
Cross Sectional ◽  
Ulcer Disease ◽  
Logistic Regression Models ◽  
Household Members ◽  
H Pylori

AbstractPeptic ulcer disease (PUD) is caused by many sociodemographic and economic risk factors other than H. pylori infection. However, no studies reported an association between PUD and the number of household members. We showed the number of family members affected by PUD based on sex in a Korean population. This cross-sectional study used 1998–2009 data from the Korea National Health and Nutrition Examination Survey of the Korea Centers for Disease Control and Prevention. Multiple binary logistic regression models adjusted for confounders were constructed to analyze the association of PUD with the number of household members. The number of household members was associated with PUD, age, body mass index (BMI), waist circumference, systolic blood pressure, hemoglobin, glucose, location (urban/rural), income, education level, stress, current drinking, and smoking in both sexes. Men with other household members had a higher PUD risk compared to men or women living alone (reference), and the opposite was observed for women. Men with 4 household members had a higher PUD risk than men living alone in the model adjusted for age, BMI, income, location, education, and stress (OR = 2.04 [95% CI 1.28–3.27], p value = .003). Women with more than 6 household members had a lower PUD risk than women living alone in the adjusted model (OR = 0.50 [0.33–0.75], p value = .001). Women with more household members had a lower PUD risk. However, more men had PUD than women regardless of the number of household members.

scholarly journals RELATIONSHIP BETWEEN ESOPHAGITIS GRADES AND HELICOBACTER PYLORI

2016 ◽  
Vol 29 (3) ◽  
pp. 135-137 ◽  
Author(s):  
Patrícia Fernanda Saboya RIBEIRO ◽  
Luiz Fernandao KUBRUSLY ◽  
Paulo Afonso Nunes NASSIF ◽  
Irma Cláudia Saboya RIBEIRO ◽  
Andressa de Souza BERTOLDI ◽  
...  
Keyword(s):  
Helicobacter Pylori ◽  
Type A ◽  
Cross Sectional Study ◽  
Endoscopic Examination ◽  
Type B ◽  
Gastric Lesions ◽  
Sectional Study ◽  
Cross Sectional ◽  
Urease Test ◽  
Significant Difference

ABSTRACT Background: The Helicobacter pylori infection (HP) is related to the development of gastric lesions and lymphoma; however, it is not known if there is a relation with gastroesophageal reflux disease and reflux esophagitis. Aim: To evaluate HP's relationship with esophagitis in patients undergoing upper endoscopy. Methods: Observational, retrospective and cross-sectional study, being evaluated 9576 patients undergoing outpatient endoscopic examination during the period between January and December 2015. Were included patients with any esophageal alteration at the examination; greater than 18; of both genders; independent of the complaint or the reason for the examination, illness or drug use. Were excluded those with active bleeding during the examination and in use of anticoagulants. The variables gender, age, esophagitis and result of the urease test, were studied. For statistical analysis was used the Epi Info software 7.1.5.2. Results: Most of the samples consisted of women and the overall average age was 46.54±16.32 years. The presence of infection was balanced for gender: 1204 (12.56%) women and 952 (13.92%) men. Relating degree of esophagitis HP- and HP+ was observed that the type A was the most common (58.79%, n=1460); 604 (24.32%) had grade B; 334 (13.45%) grade C, and 85 (3.42%) grade D. In the relation between the grade of esophagitis with gender, esophagitis A was predominant in women and present in 929 (63.33%), followed by type B, 282 (46.68%), 136 C (40.71%) and D 30 (35.29%). In men 531 (36.36%) showed type A, 322 (53.31%) B, 198 (59.28%) C, and 55 (64.70%) D. Among the groups 40-50 and over 60 years there was a significant difference in whether have or not have HP+. Conclusion: There is no significant difference between HP infection and the different grades of esophagitis.

scholarly journals Association between VEGF -2578 C> A Polymorphism with VEGF Serum Levels in Gastritis with Helicobacter Pylori

2021 ◽  
Vol 8 (8) ◽  
pp. 171-175
Author(s):  
Tara Rizvira Monica ◽  
Gontar Alamsyah Siregar ◽  
Taufik Sungkar
Keyword(s):  
Serum Levels ◽  
Mucosal Damage ◽  
Cross Sectional Study ◽  
Endoscopic Examination ◽  
Chain Reaction ◽  
Cross Sectional ◽  
Excess Production ◽  
Polymerase Chain ◽  
H Pylori ◽  
The Relationship

Mucosal damage in people with gastritis causes the production of VEGF. VEGF is a neoangiogenesis function to repair damaged tissue. Excess production can cause cancer risk. VEGF genotype polymorphisms are thought to affect the production of serum VEGF levels. The aim of this study was to determine the relationship between VEGF - 2578 C> A polymorphism and serum VEGF levels in H. pylori gastritis. Method: cross-sectional study was conducted at H. Adam Malik General Hospital and Network Hospital with 100 samples. Endoscopic examination was performed to assess the gastric mucosa and a tissue biopsy was performed. The urea breath test (UBT) test and the Campylobacter like organism (CLO) test to determine H. pylori infection. VEGF - 2578 C> A was checked by Polymerase Chain Reaction (PCR). The data will be analyzed by univariate and bivariate. Result: One hundred people with gastritis, of which 59 people were infected with H. pylori. In this study, H. pylori infection did not have a significant relationship with VEGF levels. VEGF - 2578 C> A polymorphisms also had no relationship to serum VEGF levels. Conclusion: There is no correlation between VEGF - 2578 C> A polymorphism with VEGF serum levels (p> 0.05). Keywords: VEGF polymorphisms, VEGF - 2578 CA, H. pylori, Gastritis.

scholarly journals Association between VEGF-2578 C>A Polymorphism with Gastric Premalignant Lesion in Gastritis with Helicobacter

2021 ◽  
Vol 8 (8) ◽  
pp. 13-18
Author(s):  
Mario Eka Paskah Sinulingga ◽  
Gontar Alamsyah Siregar ◽  
Ilhamd .
Keyword(s):  
Gastric Cancer ◽  
Chronic Atrophic Gastritis ◽  
Epidemiological Studies ◽  
Cross Sectional Study ◽  
Endoscopic Examination ◽  
Premalignant Lesions ◽  
Cross Sectional ◽  
Common Causes ◽  
H Pylori ◽  
Histopathological Studies

Introduction: Gastric cancer is one of the most common causes of cancer-related deaths worldwide. Many epidemiological studies have shown several risk factors associated with the development of gastric cancer, including gastritis. The most common cause of gastritis is H. pylori infection. In the H.pylori-infected mucosa, there was a significant increase in VEGF levels. Several SNPs are thought to be involved in the etiology of malignancy, one of which is the VEGF-2578C>A polymorphism. Methods: A cross sectional study was conducted in Medan with 59 H. Pylori gastritis patients. Endoscopic examination was performed to assess the gastric mucosa. H.pylori status was determined by examination of Urea breath Test (UBT) and Campylobacter Like Organism (CLO) test followed by histopathological studies evaluating the presence of changes to pre-malignant lesions such as chronic atrophic gastritis, intestinal metaplasia, intestinal dysplasia. Genotype analysis was carried out using Polymerase Chain Reaction (RT-PCR). Data analysis was carried out by univariate and bivariate Result: Of the 59 patients with H. pylori gastritis, 35.8% of patients showed premalignant lesions. The majority of premalignant lesions had a CC genotype (37.9%, n = 11), but there was no significant relationship between the VEGF-2578 C>A polymorphism and the incidence of gastric premalignant lesions. Conclusion: Based on this study, the VEGF -2578C>A polymorphism was not associated with gastric premalignant lesions in H. pylori gastritis patients.. Keywords: Polymorphism VEGF, VEGF -2578C>A, Premalignant lesions, H. Pylori.

Peptic Ulcer Diseases

2018 ◽  
Author(s):  
Edward A Lew
Keyword(s):  
Duodenal Ulcer ◽  
Peptic Ulcer ◽  
Gastric Ulcer ◽  
Peptic Ulcer Disease ◽  
Clinical Manifestations ◽  
Muscularis Propria ◽  
Gastric Ulcers ◽  
Peptic Ulcers ◽  
Ulcer Disease ◽  
H Pylori

Peptic ulcers are defects or breaks in the inner lining of the gastrointestinal (GI) tract. Although the pathogenesis is multifactorial they tend to arise when there is an imbalance between protective and aggressive factors, such as when GI mucosal defense mechanisms are impaired in the presence of gastric acid and pepsin. Peptic ulcers extend through the mucosa and the muscularis mucosae, a thin layer of smooth muscle separating the mucosa from the deeper submucosa, muscularis propria, and serosa. Peptic ulcer disease affects up to 10% of men and 4% of women in Western countries at some time in their lives. This chapter discusses the pathogenesis of peptic ulcer disease and the etiologic contribution of Helicobacter pylori infection, nonsteroidal anti-inflammatory drugs, and gastrinoma or other hypersecretory states. Also addressed are rare and unusual causes for ulcers and GI bleeding. A section on the diagnosis of peptic ulcers discusses clinical manifestations, physical examination findings, laboratory and imaging studies, and surgical diagnosis. Differential diagnosis is also reviewed. Tests to establish the etiology of peptic ulcer disease include endoscopy, quantitative serologic tests, the urea breath test, and the fecal antigen test. Discussed separately are treatments for uncomplicated duodenal ulcers, uncomplicated gastric ulcers, intractable duodenal or gastric ulcers, complicated peptic ulcers (bleeding ulcers, acute stress ulcers, perforated ulcers, obstructing ulcers, fistulizing ulcers, and Cameron ulcers), H. pylori ulcers, and gastric cancer. Figures illustrate the etiopathogenesis of peptic ulcers, prevalence of H. pylori infection in duodenal and gastric ulcer patients compared with normal controls, the approach to a patient with new and undiagnosed ulcerlike symptoms refractory to antisecretory therapy, an upper GI series showing an uncomplicated duodenal ulcer, a chest x-ray showing pneumoperitoneum from a perforated duodenal ulcer, gastric biopsy samples showing H. pylori organisms, and the approach to treatment and follow-up in patients with either complicated or uncomplicated duodenal or gastric ulcer. Tables list differential diagnoses of peptic ulcer disease, commonly used regimens to eradicate H. pylori, additional antimicrobial agents with activity against H. pylori, and FDA-approved antisecretory drugs for active peptic ulcer disease. This chapter contains 76 references.

Peptic Ulcer Diseases

2020 ◽  
Author(s):  
Edward A Lew
Keyword(s):  
Duodenal Ulcer ◽  
Peptic Ulcer ◽  
Gastric Ulcer ◽  
Peptic Ulcer Disease ◽  
Clinical Manifestations ◽  
Muscularis Propria ◽  
Gastric Ulcers ◽  
Peptic Ulcers ◽  
Ulcer Disease ◽  
H Pylori

Peptic ulcers are defects or breaks in the inner lining of the gastrointestinal (GI) tract. Although the pathogenesis is multifactorial they tend to arise when there is an imbalance between protective and aggressive factors, such as when GI mucosal defense mechanisms are impaired in the presence of gastric acid and pepsin. Peptic ulcers extend through the mucosa and the muscularis mucosae, a thin layer of smooth muscle separating the mucosa from the deeper submucosa, muscularis propria, and serosa. Peptic ulcer disease affects up to 10% of men and 4% of women in Western countries at some time in their lives. This chapter discusses the pathogenesis of peptic ulcer disease and the etiologic contribution of Helicobacter pylori infection, nonsteroidal anti-inflammatory drugs, and gastrinoma or other hypersecretory states. Also addressed are rare and unusual causes for ulcers and GI bleeding. A section on the diagnosis of peptic ulcers discusses clinical manifestations, physical examination findings, laboratory and imaging studies, and surgical diagnosis. Differential diagnosis is also reviewed. Tests to establish the etiology of peptic ulcer disease include endoscopy, quantitative serologic tests, the urea breath test, and the fecal antigen test. Discussed separately are treatments for uncomplicated duodenal ulcers, uncomplicated gastric ulcers, intractable duodenal or gastric ulcers, complicated peptic ulcers (bleeding ulcers, acute stress ulcers, perforated ulcers, obstructing ulcers, fistulizing ulcers, and Cameron ulcers), H. pylori ulcers, and gastric cancer. Figures illustrate the etiopathogenesis of peptic ulcers, prevalence of H. pylori infection in duodenal and gastric ulcer patients compared with normal controls, the approach to a patient with new and undiagnosed ulcerlike symptoms refractory to antisecretory therapy, an upper GI series showing an uncomplicated duodenal ulcer, a chest x-ray showing pneumoperitoneum from a perforated duodenal ulcer, gastric biopsy samples showing H. pylori organisms, and the approach to treatment and follow-up in patients with either complicated or uncomplicated duodenal or gastric ulcer. Tables list differential diagnoses of peptic ulcer disease, commonly used regimens to eradicate H. pylori, additional antimicrobial agents with activity against H. pylori, and FDA-approved antisecretory drugs for active peptic ulcer disease. This chapter contains 5 figures, 6 tables and 78 references.

scholarly journals Correlation Between Endoscopic and Histological Findings of Dyspeptic Patients and their Association with Helicobacter Pylori Infection

2019 ◽  
Vol 13 (2) ◽  
pp. 11-17
Author(s):  
Saifa Kismat ◽  
Nusrat Noor Tanni ◽  
Rokshana Akhtar ◽  
Chandan Kumar Roy ◽  
Mohammad Mosiur Rahman ◽  
...  
Keyword(s):  
Duodenal Ulcer ◽  
Cross Sectional Study ◽  
Endoscopic Examination ◽  
Case Definition ◽  
Histological Findings ◽  
Cross Sectional ◽  
Total Study Population ◽  
Study Population ◽  
Bangladeshi Population ◽  
H Pylori

There is a high prevalence of H. pylori infection in Bangladeshi population that causes site specific diseases which includes gastritis, gastric ulcer, duodenal ulcer and gastric carcinoma. The Cross sectional study was carried out in the Department of Microbiology and immunology, Bangabandhu Medical University (BSMMU), during the period of September, 2018 to July, 2019. Dyspeptic patients, who underwent endoscopic examination at the Department of Gastroenterology of Dhaka medical College and Hospital, who fulfilled the inclusion criteria were enrolled as study population. Collected gastric and duodenal biopsy specimens from 142 patients were categorized as H. pylori positive cases (34.5%) and H. pylori negative cases (35.2%) based on the case definition used in the study by RUT, Histology and ureC gene PCR. All of the laboratory works were performed at Department of Microbiology and Immunology except Histology which was performed at the Department of Pathology of BSMMU. Endoscopic findings significantly co-related with histological findings (p = 0.001). Highest rate of H. pylori infection was found in 76% of duodenal ulcer cases and lowest in Adenocarcinoma group being only 9% of total study population. H. pylori infection was positively associated with duodenal ulcer cases (p=0.014) and negatively with adeno carcinoma cases (p=0.002) in a statistically significant manner. Bangladesh J Med Microbiol 2019; 13 (2): 11-17

scholarly journals Association between VEGF–2578 C>A Gene Polymorphism and Lifestyle in H. Pylori Positive Gastritis Patients

2021 ◽  
Vol 3 (2) ◽  
pp. 60-65
Author(s):  
Mario Eka Paskah Sinulingga ◽  
Ilhamd
Keyword(s):  
Gene Polymorphism ◽  
Life Style ◽  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
Rapid Urease Test ◽  
Cross Sectional ◽  
Spin Column ◽  
Urease Test ◽  
Dependent Variables ◽  
H Pylori

Abstract Background: The polymorphisms make the differences in virulence and pathogenicity of H. pylori, which lead to different clinical manifestations after H. pylori infection. The aim research to assess correlation between between VEGF–2578 C>A Gene Polymorphism and life style in H. Pylori (+) Gastritis Patients. Method: The design of this study is a cross sectional study of H. Pylori (+) Gastritis patients, independent variables is gene polymorphism VEGF-2578C>A and dependent variables are life style (age, gender, BMI and alcohol). Infection of  H. Pylori detected 14C-UBT or rapid urease test. Examination  of gene polymorphism VEGF-2578C>A by  performing DNA extraction  (Spin Column Method)  with  reagent: High Pure PCR Template through PCR  procedure. Results: From 59 pasien  Gastritis H. Pylori (+), there is no correlation between VEGF-2578 C>A  gene  polymorphism  (consisting of CC, CA and AA) with  lifestyle  (gender, age consists of < 45 years and > 45 years,  BMI  consists of < 25 kg/m2  and  > 25 kg/m2,  alcoholic drinkers ) Conclusion: There is no correlation between VEGF–2578 C>A Gene Polymorphism and life style (age, sex, BMI and alcohol drinking) in H. Pylori (+) Gastritis Patients.

scholarly journals Comments on Evaluation of Endoscopic Findings and Detection of H. pylori Antibody by Serum IgG ELISA

1970 ◽  
Vol 6 (1) ◽  
pp. 24-27
Author(s):  
MDU Islam ◽  
SHZ Rahman ◽  
SM Shamsuzzaman ◽  
N Muazzam ◽  
A Chowdhury ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Duodenal Mucosa ◽  
Cross Sectional Study ◽  
Serum Samples ◽  
Igg Antibody ◽  
Cross Sectional ◽  
Ulcer Disease ◽  
Endoscopic Findings ◽  
Serum Igg ◽  
H Pylori

Bangladesh is a developing country with high prevalence of peptic ulcer disease and H. pylori infection. During the period of January 2007 to December 2007, a cross sectional study was conducted. In this study, serum samples were collected from 86 dyspeptic patients undergoing upper GIT endoscopy to determine anti-H. pylori IgG antibody by serum ELISA and was evaluated with endoscopic findings. Out of 86 study patients, gastro-duodenal mucosa was found normal in 58.14%, gastritis in 11.63%, duodenitis 2.33%, reflux oesophagitis 4.65%, peptic ulcer 17.44% and carcinoma of stomach 5.81%. Among 86 study population, 68 were serum IgG ELISA positive and 20 were negative. Key words: H. pylori; IgG; ELISA; Non-ulcer dyspepsia. DOI: 10.3329/fmcj.v6i1.7406 Faridpur Med. Coll. J. 2011;6(1): 24-27

Sign in / Sign up

Export Citation Format

Share Document