Correlation between the Intensity of Colonization and Severity of Gastritis.

BACKGROUND

The most common cause of chronic gastritis is infection with . Identifying the relationship between intensities of colonization and activity of gastritis helps the clinician in more effective treatment and posttreatment follow-ups.

METHODS

In this cross-sectional study, endoscopic gastric biopsy samples of 544 patients who complained symptoms of dyspepsia for more than three months referring to the laboratory were studied. To determine the colonization rate of and other pathological findings, Giemsa and H&E stains were, respectively, used.

RESULTS

Among 544 subjects, 47 (8.64%) patients had no gastritis, 203 (37.32%) had mild gastritis, 278 (10.51%) suffered moderate gastritis, and 16 (2.94%) had severe gastritis. In this study, patients with mild colonization rates had the highest level of mild activity (33.52%); in contrast, those with severe colonization had the highest level of severe activity (43.75%). 93.96% of people with severe colonization suffered from moderate and severe chronic gastritis. There is a significant statistical relationship between the intensity of colonization and histopathological findings including intestinal metaplasia, atrophy, and lymphoid follicle formation.

CONCLUSIONS

According to the present study, with increasing intensity of colonization, chronicity and activity of gastritis and its complications increase.