Şanlıurfa bölgesinde kronik aktif gastritli olgularda Helicobacter pylori sıklığı Türkçe

Yıl 2013, Cilt: 10 Sayı: 2, 73 - 78, 01.08.2013

Medeni Şermet Remzi Kızıltan Hasan Elkan Veyis İtik Levent Yıldırım

Öz

Amaç: Biz bu çalışmada Şanlıurfa ilindeki Helicobacter pylori sıklığını ortaya koymayı amaçladık.Materyal ve metod: Ekim 2010 ve Ekim 2012 tarihleri arasında Şanlıurfa Balıklıgöl Devlet Hastanesi Genel Cerrahi polikliniğine dispepsi şikayetleriyle başvurup, şikayetleri neticesinde tanıya yönelik endoskopik girişim yapılan ve bunun sonucunda mide biyopsisi kronik aktif gastrit saptanan 442 olgunun dosyaları retrospektif olarak incelendi. Bulgular: Dörtyüz kırk iki hastanın 387'sinde H. pylori pozitif iken %87,5 , 55'inde H.pylori negatif %12,5 olarak saptandı.Tartışma: Ülkemizde H.pylori enfeksiyonu yüksek olduğundan endoskopi yapılan hastalardan mutlaka rutin biyopsi alınarak H. pylori araştırılmalıdır ve gerekli eradikasyon tedavisi yapılmalıdır

Anahtar Kelimeler

Kronik aktif gastrit, Helicobacter pylori

Helicobacter pylori prevalance in chronic active gastritis in Sanliurfa

Öz

Background: In this study, we aimed to investigate the Heliocobacter pylori incidance in Sanliurfa.Methods: From October 2010 to October 2012, the charts of 442 patients who had been admitted to General Chirurgie Department in Sanliurfa Balıklıgöl State Hospital and diagnosed chronic active gastritis by endoscopic biopsy were retrospectively analyzed. Results: H. pylori had been detected in 387 of 442 %87.5 patients, and 55 of the patients did not have H.pylori. Conclusion: Our country has high incidance of H.pylori. Routinly biopsy should be performed during diagnostic endoscopy and H.pylori should be investigated and eradicated if necessary

Anahtar Kelimeler

Chronic active gastritis, Helicobacter pylori

Kaynakça

• ) Marshall BJ, Warren JR. Unidentified curved bacilli in the stomach of patients with gastritis and peptic ulceration. Lancet 1984; 1(8390): 1311-3.
• ) Dunn BE, Cohen H, Blaser MJ. Helicobacter pylori. Clin Microbiol Rev 1997; 10(4): 720-41.
• ) Blaser MJ. Helicobacter pylori and other gastric Helicobacter species. In: Mandell GL, Bennett JE, Dolin R, eds. Mandell, Douglas and Bennett's Principles of Practice of Infectious Diseases. 6th ed. Philadelphia: Churchill Livingstone, 2005: 2557-67.
• ) Brooks GF, Butel JS, Morse SA. Jawetz Melnick and Adelberg's Medical Microbiology. 21st ed. Connecticut: Appeleton and Lange, 1998: 543.
• ) Özardalı Hİ, Bitiren M, Nazlıgül Y, Yılmaz N. Şanlıurfa yöresinde nonerosiv gastritlerde Helicobacter pylori sıklığı. Genel Tıp Dergisi 1998; 8(4): 149-52.
• ) Dixon MF, Genta RM, Harley JH, Correa P, et al. Classification and grading of gastritis The Updated Sydney System, Am J Surg Pathol 1996; 20(10): 1161
• ) Zoitoun AM. Histological Study of Chronic Gastritis from the United Arap Emirates using the Sydney System of Classification. J Clin Pathol 1994; 47(9): 810-5.
• ) Joos A, Nemzeth A, Zsolnay G, Kövari E, Papp J. Gastric biopsies and Helicobacter pylori. ORV Hetil ; 136(36): 1975.
• ) Alikhani MY, Sadeghifard SN, Farajnia S, Hajia M, Aslani MM, Zamani AR. Evaluation of selective and nonselective media for isolation of Helicobacter pylori from gastric biopsy specimens. J Biol Sci 2007; 10(22): 9.
• ) Hashami MR, Rahnavardi M, Bikdeli B, Dehahoni M. Helicobacter pylori infection among 1000 southern
• Iranian dyspeptic patients. World J Gastroenterol 2006; (34): 5479-82.
• ) Yamagata H, Kiyohara Y, Aoyagi K, et al. Impact of Helicobacter pylori infection on gastric cancer incidence in a general Japanese population: The Hisayama Study. Arch Intern Med 2000; 160(13): 1962.
• ) Rugge M, Dimario F, Cassaro M, et al. Pathology of the gastric antrum and body associated with Helicobacter pylori infection in non ulcer patients: is the bacterium a promoter of intestinal metaplasia? Histopatholog 1993; (1): 9-15.
• ) Nazligul Y, Uzunkoy A, Ozardali HI, Bitiren M. Is the local acid output an important factor for Helicobacter pylori colonization? Hepatogastroenterology. 2001; (40): 1192-4.