Tekirdağ Bölgesinde Helicobacter pylori prevalansı ve patolojik parametrelerin çok yönlü analizi: Literatürle ile Güncelleme

Year 2014, Volume: 24 Issue: 1, 1 - 6, 01.01.2014

Rafet Mete Mustafa Oran Hayati Güneş Oğuzhan Yıldırım Birol Topçu Meltem Öznur İbrahim Gelincik Tüncay Koç

Abstract

Amaç: Gerek yurt içi gerekse yurt dışı literatürlere bakıldığında Helicobacter pylori H. pylori ile Sydney sınıflamasındaki histolojik parametrelerin tümünü içine alan karşılaştırma nadirdir. Çalışmamızın amacı dispeptik şikayetler nedeniyle gastroskopi yapılmış ve antrum biyopsilerinde gastrit tanısı almış 797 hastadaki H. pylori sıklığını tespit etmek ve Sydney sınıflamasına göre yapılan histolojik parametreleri analiz edip H. pylori ile olan ilişkisini göstermektir. Gereç ve yöntem: Çalışmaya Mart 2010 ve Mart 2013 tarihleri arasında Namık Kemal Üniversitesi Tıp Fakültesi Gastroenteroloji Kliniği endoskopi ünitesinde gastroskopik incelenmesi yapılan ve patolojik olarak sadece gastritis tanısı alan 309’u erkek, 488’i kadın toplam 797 hasta alındı. Bulgular: Ortalama yaş 44.96 ±13.90 idi ve cinsler arasında yaş farklılığı yoktu p>0.05 . 700 %87,7 hastada enflamasyon, 368 %46 hastada aktivasyon, 108 %13,5 hastada intestinal metaplazi, 130 %16.3 hastada atrofi ve 301 %37.7 hastada lenfoid follikül mevcuttu. 587 %73,7 hastada H. pylori pozitif idi. Sonuç: H. pylori prevalans oranımız %73,7 olup literatür ortalamasıyla ile benzerlik göstermektedir. İntestinal metaplazi sıklığımız literatür ortalamasının altındadır. Atrofi sıklığı literatüre göre anlamlı düşük idi. Toplam hastalardaki lenfoid follikül oranımız %37.7 ve H. pylori pozitif hastalardaki lenfoid follikül oranı ise %46,3 olup literatüre ile benzerdir

Keywords

Helicobacter pylori, prevalans, histopatoloji

The prevalence of Helicobacter pylori in Tekirdag region and multi-faceted analysis of pathological parameters: Updated with the literature

Abstract

Objective: Scanning both domestic and foreign literature, studies regarding correlation of Helicobacter pylori H. pylori with whole histologic parameters of Sydney classification are scarce. The aim of the present study was to to identify the frequency of H. pylori, to analyze the histological parameters according to Sydney classification, and to evaluate the correlation of H. pylori with these parameters in 797 patients whom endoscopy was done for dyspeptic complaints. Material and methods: The present study was conducted between March 2010 and March 2013 in the Gastroenterology Clinics of Namik Kemal University, Faculty of Medicine. 797 patients 309 male, 488 female, mean age: 44.96 ±13.90 who underwent gastroscopy and whose gastric mucosal biopsies revealed gastritis were included. Results: No difference in age and gender was observed p>0,05 . 700 87,7 % patients had inflammation, 368 46 % activation, 108 13,5 % intestinal metaplasia, 130 16.3 % atrophy, and 301 37.7 % lymhoid follicles. H. pylori was positive in 587 73,7 % patients. Conclusion: The prevalence of H. pylori was 73.7% and similar to the results of medical literature. Metaplasia and atrophy were lower than that of the previous studies. Lymphoid follicles were positive in 37.7% of the patients . In accordance with the previous data, 46.3% of H. pylori positive patients had lymphoid follicles and the results

Keywords

Helicobacter pylori, prevalence, histopathology

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