Moyaert Hilde, Franceschi Francesco, Roccarina Davide, Ducatelle Richard, Haesebrouck Freddy, Gasbarrini Antonio
Department of Pathology, Bacteriology, and Avian Diseases, Faculty of Veterinary Medicine, Ghent University, Ghent, Belgium.
Helicobacter. 2008 Oct;13 Suppl 1:47-57. doi: 10.1111/j.1523-5378.2008.00634.x.
The finding that Helicobacter pylori is the main cause of gastritis and peptic ulcer disease has opened a new era in the gastrointestinal world. Today there is evidence that H. pylori may also play a role in different nongastric diseases, opening the new "extragastric manifestations of H. pylori infection" field. Concerning this, several studies have been published in the last year. The most convincing data arise from those investigating idiopathic thrombocytopenic purpura and sideropenic anemia, while there is also an increasing evidence for a possible association with atherosclerotic disease. Furthermore, the discovery of a number of other novel Helicobacter species has stimulated the research in different extragastric diseases, in which an infectious hypothesis is plausible. In particular, several species have been studied for a potential role in different liver and intestinal diseases with interesting findings.
幽门螺杆菌是胃炎和消化性溃疡疾病的主要病因这一发现,开启了胃肠病学领域的新纪元。如今,有证据表明幽门螺杆菌可能在不同的非胃部疾病中也发挥作用,从而开辟了新的“幽门螺杆菌感染的胃外表现”领域。关于这一点,去年已经发表了几项研究。最有说服力的数据来自对特发性血小板减少性紫癜和缺铁性贫血的调查,同时也有越来越多的证据表明其与动脉粥样硬化疾病可能存在关联。此外,多种其他新型幽门螺杆菌的发现激发了对不同胃外疾病的研究,在这些疾病中感染假说似乎是合理的。特别是,已经对几种幽门螺杆菌在不同肝脏和肠道疾病中的潜在作用进行了研究,并取得了有趣的发现。