title: Low prevalence of gastric metaplasia in the duodenal mucosa in Peru.
abstract: We compared the prevalence of gastric metaplasia of the duodenal mucosa (GM) and its characteristics in 204 Peruvian patients from a low socioeconomic level with the corresponding prevalence reported in dyspeptic patients from a developed country, the United Kingdom. Gastric metaplasia was significantly less prevalent in the Peruvian than in the United Kingdom series. However, when present, GM was not significantly different in extent or frequency of colonization by Helicobacter pylori or association with active duodenitis, despite a higher prevalence of H. pylori-associated gastritis. Hypochlorhydria was markedly more frequent in the Peruvian than in the United Kingdom series. The finding of a low prevalence of H. pylori-colonized GM in patients with previously reported low prevalence of duodenal ulcer gives further support to a pathogenic link between both conditions.
authors.affiliation: Gastrointestinal Physiology Working Group of Cayetano Heredia, Lima, Peru.
authors.forename: S
authors.initials: S
authors.lastname: Recavarren-Arce
authors.forename: R
authors.initials: R
authors.lastname: León-Barúa
authors.forename: J
authors.initials: J
authors.lastname: Cok
authors.forename: C
authors.initials: C
authors.lastname: Rodríguez
authors.forename: R
authors.initials: R
authors.lastname: Berendson
authors.forename: R H
authors.initials: RH
authors.lastname: Gilman
authors.forename: A
authors.initials: A
authors.lastname: Ramírez-Ramos
authors.forename: J
authors.initials: J
authors.lastname: Watanabe
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004386:Duodenum; D004415:Dyspepsia / Q000453:epidemiology* / Q000382:microbiology / Q000473:pathology*; D005260:Female; D016481:Helicobacter Infections / Q000453:epidemiology* / Q000382:microbiology / Q000473:pathology*; D016480:Helicobacter pylori / Q000302:isolation & purification*; D006801:Humans; D007413:Intestinal Mucosa / Q000382:microbiology / Q000473:pathology*; D008297:Male; D008679:Metaplasia / Q000453:epidemiology / Q000382:microbiology / Q000473:pathology; D008875:Middle Aged; D010568:Peru / Q000453:epidemiology; D015995:Prevalence; D012959:Socioeconomic Factors; D013270:Stomach / Q000382:microbiology / Q000473:pathology*; D006113:United Kingdom / Q000453:epidemiology