[The effect of Helicobacter pylori infection and duodenogastric reflux on the histology of gastric mucosa in peptic ulcers].
In a group of 96 patients with peptic ulcer (36 patients with ulcer of the stomach, 60 patients with ulcer of the duodenum) we analysed the alterations of the mucosa of the stomach associated with the ulcer. A significantly frequent occurrence was shown of the athropic gastritis and of the dysplasia in patients with ulcer of the stomach in comparison with the group of patients with ulcer of the stomach in the comparison with the group of the patients with ulcer of the duodenum. Among the patients analysed we also appraised the alterations on the picture of the stomach mucosa of the Helicobacter pylori infection, of the duodeno-gastric reflux as well as of the concentration of the bile acids and of lysolecithin contained in the gastric juice in the ulcerous disease of the stomach and of the duodenum. The presence of the Helicobacter pylori infection was identified bacteriologically, the duodeno-gastric reflux was diagnosed with the radionucleide method and the concentration of the bile acids and lysolecithin in gastric juice was determined chromatographically. It was confirmed that the Helicobacter pylori infection as well as the bile acids and the lysolecithin the concentration of which in the gastric juice in patients with an ulcer in the stomach were significantly higher in comparison with patients with and the ulcer in the duodenum, were a decisive factor for more exacerbated histological alterations of the mucosa of the stomach in case of ulcer of the stomach.
Kopański
Z
Z
Kliniczny Oddział Chirurgii Ogólnej 5 Wojskowego Szpitala Klinicznego w Krakowie.
Cienciała
A
A
Brandys
J
J
Zastepa
P
P
Micherdziński
J
J
Witkowska
B
B
Czajecki
K
K
D000328:Adult; D001284:Atrophy; D001647:Bile Acids and Salts / Q000737:chemistry; D004381:Duodenal Ulcer / Q000209:etiology / Q000473:pathology*; D004383:Duodenogastric Reflux / Q000150:complications*; D005260:Female; D005750:Gastric Juice / Q000737:chemistry; D005753:Gastric Mucosa / Q000473:pathology*; D016481:Helicobacter Infections / Q000150:complications*; D016480:Helicobacter pylori / Q000302:isolation & purification*; D006801:Humans; D008244:Lysophosphatidylcholines / Q000032:analysis; D008297:Male; D008875:Middle Aged; D013276:Stomach Ulcer / Q000209:etiology / Q000473:pathology*
D001647:Bile Acids and Salts; D008244:Lysophosphatidylcholines