of Helicobacter pylori Infection in Patients with Gastric Resection
Rodica Redis1, Ana Bratu2, Dan Redis1, Laurentiu Cozlea1, Simona
1) Public Health Center. 2) University of Medicine and Pharmacy,
The aim of the present study was to investigate
the incidence of Helicobacter pylori infection in patients with
gastric resection (Pean-Billroth I and Billroth II) and to correlate
its presence with clinical, endoscopical and histopathological
Material and methods. All patients examined in the Endoscopy
Unit of the 2nd Medical Clinic Tg.Mures between April 01, 1997
and March 31, 1999 were included in the series. Every patient
had had a gastric resection for gastroduodenal ulcer and they
were symptomatic at the moment of examination. Clinical examination
and a gastroscopy with multiple biopsies for histopathological
examination and for Helicobacter pylori determination were undertaken.
Results. The series consisted of 70 patients (4 women
and 66 men) with mean age 55.2 years. Helicobacter pylori was
detected in 16 (22.85%) patients, and was associated in all
cases with gastritis of remnant stomach. Gastric cancer was
evidenced in 5 (7.14%) patients with remnant stomach and peptic
ulcer in 4 (5.71%) patients.
Conclusions. The incidence of Helicobacter pylori infection
in patients with gastric resection was significantly lower compared
to patients with an anatomic normal stomach. Pean- Billroth
I is the most frequent type of anastomosis and that is accountable
because it maintains the duodenum in the digestive circuit.
No differences of Helicobacter pylori incidence were observed
between the two types of surgical reconstruction. The role of
Helicobacter pylori in ulcer relapsing in the gastrectomized
patients remains to be demonstrated.
Gastric remnant _ gastric carcinoma _ peptic ulcer _ Helicobacter