Yüksel Melikşah, Merdin Alparslan, Şenol Altuğ
Department of Internal Medicine, Faculty of Medicine, Süleyman Demirel University, Isparta, Turkey.
Division of Hematology, Department of Internal Medicine, Faculty of Medicine, Süleyman Demirel University, Isparta, Turkey.
Medicine (Baltimore). 2025 Apr 25;104(17):e42269. doi: 10.1097/MD.0000000000042269.
This study investigated the potential association between gastric intestinal metaplasia, Helicobacter pylori (H pylori) positivity and ABO/Rh blood types. Additionally, the study examined the association between intestinal metaplasia and H pylori positivity. The study population consisted of 297 patients aged 19 years and older who underwent endoscopic biopsies for the assessment of intestinal metaplasia and H pylori infection. Patients' ABO/Rh blood type information was retrieved from the hospitals electronic archive system. Comparative analyses were performed to assess the distribution of ABO/Rh blood types among patients with and without intestinal metaplasia and H pylori infection. No statistically significant correlation was observed between H pylori positivity on endoscopic biopsy and ABO/Rh blood types. Similarly, there was no statistically significant correlation between intestinal metaplasia and ABO/Rh blood types. However, a significant association was identified between H pylori infection and intestinal metaplasia. The observed association between H pylori infection and intestinal metaplasia underscores the importance of H pylori testing in patients diagnosed with intestinal metaplasia. While our findings suggest that ABO/Rh blood type may not be a risk factor for intestinal metaplasia or H pylori infection, further research with a larger sample size is warranted to confirm these results, particularly in light of existing conflicting data in the literature.
本研究调查了胃黏膜肠化生、幽门螺杆菌(H pylori)阳性与ABO/Rh血型之间的潜在关联。此外,该研究还考察了肠化生与H pylori阳性之间的关联。研究对象包括297名19岁及以上的患者,这些患者接受了内镜活检以评估肠化生和H pylori感染情况。患者的ABO/Rh血型信息从医院电子存档系统中获取。进行了对比分析,以评估有或没有肠化生及H pylori感染的患者中ABO/Rh血型的分布情况。在内镜活检中,未观察到H pylori阳性与ABO/Rh血型之间存在统计学上的显著相关性。同样,肠化生与ABO/Rh血型之间也没有统计学上的显著相关性。然而,研究发现H pylori感染与肠化生之间存在显著关联。观察到的H pylori感染与肠化生之间的关联凸显了对诊断为肠化生的患者进行H pylori检测的重要性。虽然我们的研究结果表明ABO/Rh血型可能不是肠化生或H pylori感染的风险因素,但鉴于文献中现有相互矛盾的数据,有必要进行更大样本量的进一步研究以证实这些结果。