Dong Y F, Guo T, Yang H, Qian J M, Li J N
Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.
Zhonghua Nei Ke Za Zhi. 2019 Feb 1;58(2):139-142. doi: 10.3760/cma.j.issn.0578-1426.2019.02.011.
To investigate the correlations between gastric (Hp) infection and colorectal polyps or cancer. Among patients who finished colonoscopy exams in Peking Union Medical College Hospital (PUMCH) between May 2012 and May 2017, 3 483 patients were diagnosed with colorectal polyps, 135 patients with newly diagnosed colorectal cancer. A total of 1 925 healthy subjects were enrolled as normal controls. Gastric rapid urease tests (RUT) were done in all patients. General clinical data, RUT results, sizes and numbers of polyps, cancer location were analyzed. The proportion of Hp infection in patients with colorectal polyps was 31.5%, higher than that in healthy controls. The odds ratio () of Hp infection in polyp group was 1.17 (95% 1.04-1.32) after age and gender were adjusted. The Hp infection rate in patients with polyps over or equal to 1 cm was significantly higher than that in patients with polyps smaller than 1 cm. Patients with more than 1 polyps presented a higher rate of Hp infection than patients with only 1 polyp. Hp infection rate in patients with colorectal cancer was 36.3%, with the adjusted 1.56 (95% 1.06-2.30). The location of colorectal cancer was not correlated with Hp infection. Gastric Hp infection is more common in patients with colorectal polyps than in healthy controls. Polyps ≥1 cm, multiple polyps and colorectal cancer are correlated with higher rates of Hp infection. Cancer location is irrelevant to Hp infection.
探讨胃幽门螺杆菌(Hp)感染与结直肠息肉或癌症之间的相关性。在2012年5月至2017年5月于北京协和医院完成结肠镜检查的患者中,3483例被诊断为结直肠息肉,135例为新诊断的结直肠癌。共纳入1925名健康受试者作为正常对照。对所有患者进行胃快速尿素酶试验(RUT)。分析一般临床资料、RUT结果、息肉大小和数量、癌症位置。结直肠息肉患者中Hp感染比例为31.5%,高于健康对照。在调整年龄和性别后,息肉组Hp感染的比值比(OR)为1.17(95%可信区间1.04 - 1.32)。息肉直径大于或等于1 cm的患者中Hp感染率显著高于息肉直径小于1 cm的患者。息肉数量多于1个的患者Hp感染率高于仅有1个息肉的患者。结直肠癌患者中Hp感染率为36.3%,调整后的OR为1.56(95%可信区间1.06 - 2.30)。结直肠癌的位置与Hp感染无关。胃Hp感染在结直肠息肉患者中比在健康对照中更常见。直径≥1 cm的息肉、多发息肉和结直肠癌与更高的Hp感染率相关。癌症位置与Hp感染无关。