Banić Marko, Buljevac Mladen, Kujundzić Milan, Jelić Davor, Dominis Mara, Colić-Cvrlje Vesna, Kardum Dusko, Katicić Miroslava
Klinika za unutarnje bolesti, Klinicka bolnica Dubrava, Avenija Gojka Suska br. 6, 10000 Zagreb.
Lijec Vjesn. 2002 Sep;124 Suppl 1:63-8.
Helicobacter pylori infection is linked to conditions of the upper gastrointestinal tract, including peptic ulcer and gastric adenocarcinoma na MALT lymphoma. It has also been associated with wide variety of extragastric and non-gastrointestinal conditions. However, the evidence in support of Helicobacter pylori infection as a cause of the non-gastrointestinal tract diseases is not widely understood. We reviewed the medical literature in regard to putative association of Helicobacter pylori infection and non-gastrointestinal tract condition, notably cardiovascular, autoimmune and dermatological diseases. The majority of published papers examining the potential causal relationship were case-control studies, cross-sectional and cohort studies while only a few recent articles that did not confirm the evidence of causal relationship represent well designed population-based prospective studies. The lack of clear evidence for etiopathogenetic associations of Helicobacter pylori infection and non-gastrointestinal tract conditions should focus our attention on appropriate testing and treatment of Helicobacter pylori infection in patients with conditions that are of proven association such as peptic ulcer disease.
幽门螺杆菌感染与上消化道疾病有关,包括消化性溃疡、胃腺癌和黏膜相关淋巴组织淋巴瘤。它还与多种胃外和非胃肠道疾病有关。然而,支持幽门螺杆菌感染是胃肠道外疾病病因的证据并未得到广泛理解。我们回顾了关于幽门螺杆菌感染与非胃肠道疾病(尤其是心血管疾病、自身免疫性疾病和皮肤病)之间假定关联的医学文献。大多数研究潜在因果关系的已发表论文是病例对照研究、横断面研究和队列研究,而最近只有少数未证实因果关系证据的文章代表了精心设计的基于人群的前瞻性研究。幽门螺杆菌感染与非胃肠道疾病之间缺乏明确的病因学关联证据,这应使我们将注意力集中在对已证实有关联的疾病(如消化性溃疡病)患者进行幽门螺杆菌感染的适当检测和治疗上。