PORTAL HİPERTANSİYONU OLAN HASTALARDA HELİCOBACTER PYLORİ SIKLIĞININ VE MİDE ANTRUM PATOLOJİ BULGULARININ DEĞERLENDİRİLMESİ

Öz

Amaç: Çalışmamızda portal hipertansif gastropatisi (PHG) olan hastalarda Helicobacter pylori sıklığını ve antrum patolojilerinin özelliklerini değerlendirmeyi amaçladık. Gereç ve Yöntem: Portal hipertansiyonu olan 203 hastanın endoskopi ünitemizde yapılmış olan gastroskopilerinde portal hipertansif gastropati saptanan hastaların antrum patolojileri ve Giemsa boyası ile değerlendirilen H. Pylori varlığı retrospektif olarak araştırılmıştır. Bulgular: Çalışmaya, portal hipertansif gastropatisi olan, 119’u erkek, 84’ü kadın, toplam 203 hasta dahil edilmiştir. Portal hipertansif gastropatisi olan hastalarda, H. Pylori pozitiflik oranı %15,3 olarak saptandı. Bu oran 65 yaş altında %18,5, 65 yaş üzerinde ise %8,8 olarak saptanmıştır. Cinsiyet bazında, H. Pylori pozitiflik oranları erkek hastalarda %21,8, kadın hastalarda %6 olarak tespit edildi. Hastalarda en sık görülen antrum patolojileri sıklık sırasına göre: %41,4 oranı ile reaktif gastropati, %23,6 aktif gastrit ve %22,2’lik oran ile ödem olarak saptandı. İntestinal metaplazi oranı ise %9,9 olarak saptandı. Sonuç: Çalışmamıza dahil ettiğimiz PHG’i olan hastalarda, H. Pylori pozitiflik oranı %15,3 olarak saptandı. Bu oranın ülkemiz genelindeki H. Pylori pozitiflik oranının altında olduğu görülmüştür. Hastalarda en sık görülen antrum patolojisi %41,4 oranı ile reaktif gastropati iken, intestinal metaplazi oranı %9,9 olarak saptandı.

Anahtar Kelimeler

• Portal Hipertansif Gastropati (PHG)
• H. Pylori
• gastroskopi
• prevelans

EVALUATION OF HELICOBACTER PYLORI FREQUENCY AND GASTRIC ANTRUM PATHOLOGY FINDINGS IN PATIENTS WITH PORTAL HYPERTENSION

Öz

Objective: In our study, we aimed to evaluate the prevalence of Helicobacter pylori (H. Pylori) and the characteristics of antrum pathologies in patients with portal hypertensive gastropathy. Materials and Methods: Antrum pathologies and the presence of H. Pylori evaluated with Giemsa stain in gastroscopies of 203 patients with portal hypertensive gastropathy. Results: A total of 203 patients, 119 male, 84 female, with portal hypertensive gastropathy was included in our study. In patients with portal hypertension, the rate of H. Pylori positivity was 15.3%. This rate was determined as 18.5% under 65 years old and 8.8% over 65 years old. On the basis of gender, H. Pylori positivity rates were 21.8% in male patients and 6% in female patients. The most common antrum pathologies in the patients, in order of frequency, were reactive gastropathy with a rate of 41.4%, active gastritis with a rate of 23.6%, and edema with a rate of 22.2%. The rate of intestinal metaplasia was found to be 9.9%. Conclusion: In the patients with portal hypertension included in our study, the H. Pylori positivity rate was found to be 15.3%. This rate was found to be below the H. Pylori positivity rate in our country. The most common antrum pathology in the patients was reactive gastropathy with a rate of 41.4%, while the rate of intestinal metaplasia was found to be 9.9%.

Anahtar Kelimeler

• Portal hypertensive gastropathy
• H. pylori
• gastroscopy
• prevelance

Kaynakça

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