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幽门螺杆菌与溃疡性结肠炎的关系。

The relation between Helicobacter pylori and ulcerative colitis.

出版信息

Turk J Med Sci. 2014;44(5):820-3. doi: 10.3906/sag-1305-39.

Abstract

BACKGROUND/AIM: Besides some genetic explanations of the native course of ulcerative colitis (UC), the most attributable factors are pathogenic bacterial agents. There are some conflicting data about the relationship between Helicobacter pylori and the rate of UC in the literature. Therefore, we aimed to investigate the rate of H. pylori in UC patients.

MATERIALS AND METHODS

Forty-nine individuals diagnosed with UC who had undergone upper gastrointestinal tract endoscopy for different reasons were included in the study. The presence of H. pylori in the stomach was checked by histopathological examination.

RESULTS

H. pylori positivity was present in 57.1% of patients with UC. Interestingly, H. pylori positivity was lower (11.1%) in pancolitis patients compared to those presenting with more limited illnesses. There were no relationships among the severity of the underlying disease, medication already used, and H. pylori positivity rate.

CONCLUSION

The extension of UC is important for the positivity rate of H. pylori. It could not be determined whether the low positivity of H. pylori in extended UC cases was due to immunosuppressive drugs or to the UC itself.

摘要

背景/目的:溃疡性结肠炎(UC)的自然病程除了一些遗传解释外,最主要的归因因素是致病细菌。关于幽门螺杆菌(H. pylori)与 UC 发生率之间的关系,文献中有一些相互矛盾的数据。因此,我们旨在调查 UC 患者中 H. pylori 的发生率。

材料和方法

本研究纳入了 49 名因不同原因接受上消化道内镜检查的 UC 患者。通过组织病理学检查检查胃中 H. pylori 的存在。

结果

UC 患者中 H. pylori 阳性率为 57.1%。有趣的是,与病变范围较小的患者相比,全结肠炎患者 H. pylori 阳性率较低(11.1%)。疾病的严重程度、已使用的药物与 H. pylori 阳性率之间没有关系。

结论

UC 的扩展对 H. pylori 的阳性率很重要。在扩展的 UC 病例中,H. pylori 阳性率低是由于免疫抑制药物还是 UC 本身,尚无法确定。

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