title: Prevalence of Helicobacter pylori infection in bariatric patients: a histologic assessment.
abstract: BACKGROUND
  Studies on rates of Helicobacter pylori (HP) infection in morbidly obese patients awaiting bariatric surgery are conflicting because of small sample size and variability in diagnostic testing. The objective of this study was to determine the rate of biopsy-proven active HP infection in morbidly obese patients undergoing bariatric surgery.
  
  
  METHODS
  Retrospective analysis was done on all morbidly obese patients who underwent bariatric surgery between 2001 and 2009. All patients underwent preoperative upper endoscopy with biopsy to evaluate HP status. All endoscopies and surgeries were performed by a single endoscopist and surgeon, respectively. Data were analyzed with Student t test, Pearson χ(2) test, and logistic regression for multivariate analysis.
  
  
  RESULTS
  The 611 patients included 79 males (12.9%) and 532 females (87.1%). Mean age was 39.9 ± 10.7 years, and mean body mass index (BMI) was 47.8 ± 6.4 kg/m(2). The overall HP infection rate was 23.7%. Rate of infection did not differ between gender (22.8% in males, 23.9% in females; P = .479) or BMI (48.6 ± 6.5 kg/m(2) in HP-positive patients, 47.5 ± 6.4 kg/m(2) in HP-negative patients; P = .087). Patients with HP were older compared with those without infection (41.2 versus 38.7 years; P =.016). Hispanics had a higher prevalence of HP (OR 2.35; P = .023).
  
  
  CONCLUSIONS
  Increasing BMI is not an independent risk factor for active HP infection within the morbidly obese patient population. Need for invasive testing to detect HP infection in these patients should be re-evaluated. Other methods of detecting active HP infection should be considered as an alternative to invasive or serologic testing.
authors.affiliation: Department of Medicine, Division of Gastroenterology, New York Methodist Hospital, Brooklyn, New York.
authors.forename: Siddharth
authors.initials: S
authors.lastname: Verma
authors.forename: Desh
authors.initials: D
authors.lastname: Sharma
authors.forename: Pushpjeet
authors.initials: P
authors.lastname: Kanwar
authors.forename: Won
authors.initials: W
authors.lastname: Sohn
authors.forename: Smruti R
authors.initials: SR
authors.lastname: Mohanty
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Tortolani
authors.forename: Piotr
authors.initials: P
authors.lastname: Gorecki
mesh_terms: D000328:Adult; D050110:Bariatric Surgery; D001706:Biopsy; D005260:Female; D005773:Gastroscopy; D016481:Helicobacter Infections / Q000453:epidemiology*; D016480:Helicobacter pylori; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000601:surgery*; D015995:Prevalence; D012189:Retrospective Studies