Department of Gastroenterology Cankiri State Hospital, Cankiri, Turkey.
J Natl Med Assoc. 2010 Aug;102(8):726-30. doi: 10.1016/s0027-9684(15)30659-3.
Helicobacter pylori is a cause of chronic gastritis. Mean platelet volume (MPV) has been started to be used as a simple inflammatory indicator in some diseases. We have aimed especially to investigate the usability of MPV as a simple indicator that may reflect severity of inflammation in gastric mucosa. Included in the study were a total of 114 patients who visited the outpatient clinic of gastroenterology with complaint of dyspepsia. Blood MPV levels in hemogram results were evaluated. Esophagogastroduodenoscopy was performed on patients included in the study, and histological analysis was performed by obtaining 2 specimens from each of antrum, corpus, and incisura angularis. All specimens were evaluated according to the updated Sydney System. No statistically significant result was found among blood MPV levels, the intensity of H pylori, and the severity of inflammation of gastric mucosa. However, it is interesting that mean MPV levels in cases with lymphoid follicle were lower. We suggest that MPV level cannot be used as a simple marker to reflect H pylori intensity and severity of inflammation in gastric endoscopic biopsies.
幽门螺杆菌是慢性胃炎的病因。平均血小板体积(MPV)已开始在某些疾病中被用作一种简单的炎症指标。我们特别旨在研究 MPV 作为一种可能反映胃黏膜炎症严重程度的简单指标的可用性。该研究共纳入了 114 名因消化不良就诊于消化内科门诊的患者。评估了血常规结果中的血液 MPV 水平。对纳入研究的患者进行了食管胃十二指肠镜检查,并通过从胃窦、胃体和胃角各取 2 个标本进行组织学分析。所有标本均根据更新的悉尼系统进行评估。血液 MPV 水平、幽门螺杆菌强度和胃黏膜炎症严重程度之间没有统计学显著差异。然而,有趣的是,有淋巴滤泡的病例中的平均 MPV 水平较低。我们认为,MPV 水平不能用作反映胃内镜活检中幽门螺杆菌强度和炎症严重程度的简单标志物。