Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.
J Clin Biochem Nutr. 2013 Mar;52(2):172-8. doi: 10.3164/jcbn.12-107. Epub 2013 Mar 1.
The relationship between Helicobacter pylori (H. pylori) eradication therapy and the risk of developing gastroesophageal reflux disease (GERD) is controversial. We investigated the influence of H. pylori eradication on the risk of GERD by focusing on the quality of life (QOL) and evaluating reflux symptoms. Patients with H. pylori infection were administered triple therapy for H. pylori eradication. At 3 months and 1 year after the eradication therapy, surveys were conducted to determine the health-related QOL by quality of life in reflux and dyspepsia-Japanese version, (QOLRAD-J) and the severity of GERD symptoms by Carlsson-Dent questionnaire (CDQ). Forty patients were included in the analysis. Although no significant changes of these scores were apparent 3 months after H. pylori eradication, the QOLRAD-J and CDQ scores were significantly improved after 1 year. The degree of improvement was even more marked in cases with initially low scores. In conclusion, improved GERD-related QOL and reflux symptoms were noted 1 year after H. pylori eradication therapy. In addition, the degree of improvement was more marked in cases with severe reflux symptoms.
幽门螺杆菌(H. pylori)根除治疗与胃食管反流病(GERD)风险之间的关系存在争议。我们通过关注生活质量(QOL)并评估反流症状,来研究 H. pylori 根除对 GERD 风险的影响。患有 H. pylori 感染的患者接受了三联疗法进行 H. pylori 根除治疗。在根除治疗后 3 个月和 1 年,通过反流和消化不良日本版生活质量问卷(QOLRAD-J)和 Carlsson-Dent 问卷(CDQ)评估 GERD 症状的严重程度来确定与健康相关的生活质量(QOL)。共纳入 40 例患者进行分析。尽管 H. pylori 根除后 3 个月这些评分没有明显变化,但 1 年后 QOLRAD-J 和 CDQ 评分明显改善。初始评分较低的患者改善程度更为明显。总之,H. pylori 根除治疗 1 年后 GERD 相关 QOL 和反流症状得到改善。此外,在反流症状严重的情况下,改善程度更为明显。