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幽门螺杆菌感染与结直肠息肉的关系。

Association between Helicobacter pylori infection and colorectal polyps.

机构信息

Afyonkarahisar Dinar State Hospital, Department of Internal Medicine, Afyonkarahisar, Turkey.

Gazi University Faculty of Medicine, Department of Gastroenterology, Ankara, Turkey.

出版信息

Medicine (Baltimore). 2023 Oct 20;102(42):e35591. doi: 10.1097/MD.0000000000035591.

Abstract

It was aimed to investigate whether the Helicobacter pylori infection is related to the frequency, localization, size and number of colorectal polyps. The data of 4561 patients who underwent esophagogastroduodenoscopy and colonoscopy were analyzed retrospectively. Patients with and without polyps at colonoscopy were grouped and the frequency of H pylori infection was compared in these patients. The relationship between the groups was evaluated with statistical methods. It was determined that the rate of H pylori infection was higher in patients with colorectal polyps than in patients without polyps (P < .005). Patients with multiple polyps, polyps larger than 1 cm, and tubulovillous and villous adenoma from polyp types had a higher rate of H pylori infection (P = .095; P .004; P .001). When the polyps were evaluated according to their localization, H pylori infection rates were not different between the groups (P = .341). It has been observed that the rate of H pylori infection is higher in large polyps, multiple polyps, tubulovillous and villous adenomas, which are known to have a higher risk of malignancy.

摘要

目的在于探究幽门螺杆菌(H. pylori)感染与结直肠息肉的频率、位置、大小和数量是否有关。回顾性分析了 4561 例行食管胃十二指肠镜和结肠镜检查患者的数据。将结肠镜检查时发现有息肉和无息肉的患者分组,并比较这些患者中 H. pylori 感染的频率。采用统计学方法评估组间关系。结果发现,有结直肠息肉的患者 H. pylori 感染率高于无息肉的患者(P <.005)。息肉数量多、直径大于 1cm、管状绒毛状和绒毛状腺瘤等息肉类型的患者 H. pylori 感染率更高(P =.095;P.004;P.001)。当根据息肉位置评估时,各组间 H. pylori 感染率无差异(P =.341)。观察到 H. pylori 感染率在大息肉、多发性息肉、管状绒毛状和绒毛状腺瘤中较高,这些息肉的恶性风险较高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fb5/10589529/1ef368511307/medi-102-e35591-g001.jpg

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