[Clinical, endoscopic and histologic findings in 1,100 patients of whom 574 were colonized by Campylobacter pylori].
Of 1,100 patients checked by at least two diagnostic tests (urease, histology, culture) 574 (52.1 p. 100) were found to have Campylobacter pylori (C. pylori) in their antral mucosa. Significantly different frequencies of C. pylori (p less than 0.005) were evidenced in the group of patients with active gastroduodenal ulcer (212/298, 71 p. 100), in non-ulcer dyspepsia (NUD) with a previous history of GD ulcer (108/177, 61 p. 100) and NUD without antecedent history of GD ulcer (254/625, 41 p. 100). Whatever the group, males and immigrants were significantly at risk. Chronic alcoholism (greater than 60 g/day) and non-steroid anti-inflammatory drug (NSAID) intake were not predictive for the presence of C. pylori but smokers were significantly at risk when the total (n = 1,100) population was taken into consideration. C. pylori was found in 29 p. 100 of asymptomatic controls (n = 31). There was no significant difference in the frequency and intensity of symptoms when comparing C. pylori+ and C. pylori- patients. The macroscopic aspect of the antral mucosa was not predictive since 51 p. 100 of patients with normal endoscopy were C. pylori+. A strong correlation was observed between the incidence of C. pylori and the severity of gastritis at histology (p less than 0.001) and C. pylori was found in 7 p. 100 of patients with normal histology.(ABSTRACT TRUNCATED AT 250 WORDS)
Deltenre
M
M
Département de Gastroentérologie, Hôpital Universitaire Brugmann, Bruxelles.
Nyst
J F
JF
Jonas
C
C
Glupczynski
Y
Y
Deprez
C
C
Burette
A
A
D000437:Alcoholism; D002169:Campylobacter Infections / Q000473:pathology*; D004415:Dyspepsia / Q000382:microbiology / Q000473:pathology*; D005260:Female; D005756:Gastritis / Q000382:microbiology / Q000473:pathology*; D006801:Humans; D008297:Male; D010437:Peptic Ulcer / Q000382:microbiology / Q000473:pathology*; D012307:Risk Factors; D012907:Smoking
Données cliniques, endoscopiques et histologiques chez 1100 patients dont 574 colonisés par Campylobacter pylori.