[Role of giardiasis in non-ulcer dyspepsia].
In 1987 and 1988, 340 consecutive patients attended the endoscopy centre of Cochin hospital, Paris, and underwent oesophago-gastroduodenal endoscopy in a search for Giardia lamblia parasitology and histology. Two-hundred and eight of these patients presented with non-ulcer dyspepsia and entered a prospective study aimed at determining the advisability of a systematic search for Giardia lamblia in this population. Six biopsies were positive for giardiasis, including 3 in patients with acquired immunodeficiency, 1 in a case of chronic diarrhoea with atrophic villi and 2 in dyspeptic patients. Giardiasis, therefore, cannot be regarded as a cause of non-ulcer dyspepsia, and a systematic search for the parasite is of little interest in such cases. However, giardiasis remains a cosmopolitan parasitic disease with a non-negligible prevalence in France among subjects at risk, such as communities, children, travellers, homosexuals and immunodeficient patients.
Cotte-Roche
C
C
Service d'Hépato-Gastro-Entérologie, Hôpital Cochin, Paris.
Roche
H
H
Chaussade
S
S
Dupouy-Camet
J
J
Tulliez
M
M
Couturier
D
D
Guerre
J
J
D000328:Adult; D000818:Animals; D001706:Biopsy; D002908:Chronic Disease; D003967:Diarrhea / Q000150:complications; D004415:Dyspepsia / Q000209:etiology*; D005260:Female; D005872:Giardia / Q000302:isolation & purification*; D005873:Giardiasis / Q000150:complications* / Q000453:epidemiology / Q000473:pathology; D006679:HIV Seropositivity / Q000150:complications*; D006801:Humans; D015994:Incidence; D008297:Male; D015995:Prevalence; D011446:Prospective Studies
Rôle de la giardiase dans la dyspepsie non ulcéreuse.