title: The association of H. pylori and colorectal adenoma: does it exist in the US Hispanic population?
abstract: BACKGROUND
  Although data on the association between colorectal adenomas and Helicobacter pylori (H. pylori) exists in White and Black patients, there is no data on this association in a US Hispanic population. Our aim was to study the association of adenoma detection and biopsy proven H. pylori infection in a cohort of US Hispanics.
  
  
  METHODS
  Data were collected from Nassau University Medical Center, a 530-bed tertiary care teaching hospital in East Meadow, New York. Patients who underwent both an esophagogastroduodenoscopy (EGD) and colonoscopy from July 2009 to March 2011 were pulled from an electronic database. A total of 1,737 patients completed colonoscopies during this time with 95 excluded: 17 inflammatory bowel disease, 12 malignancy, 22 prior history of colorectal adenoma, and 44 incomplete. Among the colonoscopies, 799 patients had EGD's performed prior to colonoscopies that were eligible for our study.
  
  
  RESULTS
  H. pylori prevalence was highest in Hispanics 40.9%, followed by Blacks 29.1% (OR 0.59, 95% CI: 0.42-0.84), then Whites 7.9% (OR 0.12, 95% CI: 0.06-0.24). The adenoma detection rate was significantly higher in Whites 23.2% and Blacks 21.8% compared to Hispanics 14.5%, P=0.0002 respectively. Smoking and alcohol were lower in the H. pylori group, 18.6% (n=44) vs. 26.1% (n=147) for smoking (P=0.02) and 14.4% (n=34) vs. 19% (n=107) for alcohol (P=0.12), respectively. There was no evidence in the Hispanics for an association between adenoma detection and H. pylori infection. Furthermore size, location, and multiple polyps did not differ between the two groups.
  
  
  CONCLUSIONS
  While data has shown an association between H. pylori and colorectal adenomas, we did not find this in our Hispanic population. With the growing population of Hispanics in the U.S, large scale studies are needed to conclusively characterize the role of H. pylori infection in colorectal adenoma and adenocarcinoma in this group of patients.
authors.affiliation: 1 Department of Medicine, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 2 Division of Digestive Diseases and Nutrition, University of South Florida Morsani College of Medicine, Tampa, FL, USA ; 3 Department of Medicine, Division of Gastroenterology, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 4 Department of Medicine, Academic Medicine Scholars Program, NYIT College of Osteopathic Medicine, Old Westbury, NY, USA.
authors.forename: Shruti
authors.initials: S
authors.lastname: Patel
authors.affiliation: 1 Department of Medicine, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 2 Division of Digestive Diseases and Nutrition, University of South Florida Morsani College of Medicine, Tampa, FL, USA ; 3 Department of Medicine, Division of Gastroenterology, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 4 Department of Medicine, Academic Medicine Scholars Program, NYIT College of Osteopathic Medicine, Old Westbury, NY, USA.
authors.forename: Seth
authors.initials: S
authors.lastname: Lipka
authors.affiliation: 1 Department of Medicine, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 2 Division of Digestive Diseases and Nutrition, University of South Florida Morsani College of Medicine, Tampa, FL, USA ; 3 Department of Medicine, Division of Gastroenterology, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 4 Department of Medicine, Academic Medicine Scholars Program, NYIT College of Osteopathic Medicine, Old Westbury, NY, USA.
authors.forename: Huafeng
authors.initials: H
authors.lastname: Shen
authors.affiliation: 1 Department of Medicine, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 2 Division of Digestive Diseases and Nutrition, University of South Florida Morsani College of Medicine, Tampa, FL, USA ; 3 Department of Medicine, Division of Gastroenterology, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 4 Department of Medicine, Academic Medicine Scholars Program, NYIT College of Osteopathic Medicine, Old Westbury, NY, USA.
authors.forename: Alex
authors.initials: A
authors.lastname: Barnowsky
authors.affiliation: 1 Department of Medicine, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 2 Division of Digestive Diseases and Nutrition, University of South Florida Morsani College of Medicine, Tampa, FL, USA ; 3 Department of Medicine, Division of Gastroenterology, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 4 Department of Medicine, Academic Medicine Scholars Program, NYIT College of Osteopathic Medicine, Old Westbury, NY, USA.
authors.forename: Jeff
authors.initials: J
authors.lastname: Silpe
authors.affiliation: 1 Department of Medicine, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 2 Division of Digestive Diseases and Nutrition, University of South Florida Morsani College of Medicine, Tampa, FL, USA ; 3 Department of Medicine, Division of Gastroenterology, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 4 Department of Medicine, Academic Medicine Scholars Program, NYIT College of Osteopathic Medicine, Old Westbury, NY, USA.
authors.forename: Josh
authors.initials: J
authors.lastname: Mosdale
authors.affiliation: 1 Department of Medicine, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 2 Division of Digestive Diseases and Nutrition, University of South Florida Morsani College of Medicine, Tampa, FL, USA ; 3 Department of Medicine, Division of Gastroenterology, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 4 Department of Medicine, Academic Medicine Scholars Program, NYIT College of Osteopathic Medicine, Old Westbury, NY, USA.
authors.forename: Qinshi
authors.initials: Q
authors.lastname: Pan
authors.affiliation: 1 Department of Medicine, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 2 Division of Digestive Diseases and Nutrition, University of South Florida Morsani College of Medicine, Tampa, FL, USA ; 3 Department of Medicine, Division of Gastroenterology, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 4 Department of Medicine, Academic Medicine Scholars Program, NYIT College of Osteopathic Medicine, Old Westbury, NY, USA.
authors.forename: Svetlana
authors.initials: S
authors.lastname: Fridlyand
authors.affiliation: 1 Department of Medicine, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 2 Division of Digestive Diseases and Nutrition, University of South Florida Morsani College of Medicine, Tampa, FL, USA ; 3 Department of Medicine, Division of Gastroenterology, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 4 Department of Medicine, Academic Medicine Scholars Program, NYIT College of Osteopathic Medicine, Old Westbury, NY, USA.
authors.forename: Anuradha
authors.initials: A
authors.lastname: Bhavsar
authors.affiliation: 1 Department of Medicine, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 2 Division of Digestive Diseases and Nutrition, University of South Florida Morsani College of Medicine, Tampa, FL, USA ; 3 Department of Medicine, Division of Gastroenterology, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 4 Department of Medicine, Academic Medicine Scholars Program, NYIT College of Osteopathic Medicine, Old Westbury, NY, USA.
authors.forename: Albin
authors.initials: A
authors.lastname: Abraham
authors.affiliation: 1 Department of Medicine, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 2 Division of Digestive Diseases and Nutrition, University of South Florida Morsani College of Medicine, Tampa, FL, USA ; 3 Department of Medicine, Division of Gastroenterology, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 4 Department of Medicine, Academic Medicine Scholars Program, NYIT College of Osteopathic Medicine, Old Westbury, NY, USA.
authors.forename: Prakash
authors.initials: P
authors.lastname: Viswanathan
authors.affiliation: 1 Department of Medicine, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 2 Division of Digestive Diseases and Nutrition, University of South Florida Morsani College of Medicine, Tampa, FL, USA ; 3 Department of Medicine, Division of Gastroenterology, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 4 Department of Medicine, Academic Medicine Scholars Program, NYIT College of Osteopathic Medicine, Old Westbury, NY, USA.
authors.forename: Paul
authors.initials: P
authors.lastname: Mustacchia
authors.affiliation: 1 Department of Medicine, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 2 Division of Digestive Diseases and Nutrition, University of South Florida Morsani College of Medicine, Tampa, FL, USA ; 3 Department of Medicine, Division of Gastroenterology, Nassau University Medical Center Associated with North Shore-Long Island Jewish Health Care System, East Meadow, NY, USA ; 4 Department of Medicine, Academic Medicine Scholars Program, NYIT College of Osteopathic Medicine, Old Westbury, NY, USA.
authors.forename: Bhuma
authors.initials: B
authors.lastname: Krishnamachari
keywords: Hispanic; colorectal adenoma; colorectal cancer; neoplasia