Kogan Z, Corti R, Cabane A, Fiorini A, Monastra Varrica L, Fernández Marty P, Vasen W
Servicio de Patología, Hospital de Gastroenterología Dr. Bonorino Udaondo, Capital Federal, Argentina.
Acta Gastroenterol Latinoam. 1992;22(4):215-9.
The authors evaluated the prevalence of colonize by Helicobacter Pylori in 21 adults patients with Barrett's esophagus; 12 males and 9 females; with ranges of age from 21 to 81 years and a medium of 56.4 years old. It was detected in 23.8% that Helicobacter Pylori was positive in Barrett's esophagus, being quite higher, 26.6% in patients over 50 years old. In the five cases with positive Helicobacter Pylori, the Barrett esophagus presented a fundic gastric mucosa and no one intestinal metaplasia. Helicobacter Pylori was not seen in esophageal biopsies from patients with reflux esophagitis without Barrett's esophagus. The clinical value of the Helicobacter Pylori finding in Barrett's esophagus and its importance of the following at long term must be explained and studied in the future, by the evaluation in numerous patients groups and prolonged follow-up.
作者评估了21例Barrett食管成年患者中幽门螺杆菌的定植情况;其中男性12例,女性9例;年龄范围为21至81岁,平均年龄56.4岁。检测发现Barrett食管中幽门螺杆菌阳性率为23.8%,50岁以上患者中该比例相当高,为26.6%。在5例幽门螺杆菌阳性的病例中,Barrett食管呈现胃底黏膜,无一例肠化生。在无Barrett食管的反流性食管炎患者的食管活检中未发现幽门螺杆菌。未来必须通过对大量患者群体的评估和长期随访来解释和研究在Barrett食管中发现幽门螺杆菌的临床价值及其长期影响的重要性。