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Article: Ulcer recurrence after gastric surgery: Is Helicobacter pylori the culprit?

TitleUlcer recurrence after gastric surgery: Is Helicobacter pylori the culprit?
Authors
Issue Date1998
PublisherNature Publishing Group. The Journal's web site is located at http://www.nature.com/ajg/index.html
Citation
American Journal Of Gastroenterology, 1998, v. 93 n. 6, p. 928-931 How to Cite?
AbstractObjectives: Helicobacter pylori is the most important cause of recurrent peptic ulcer disease. However, its role in ulcer recurrence after peptic ulcer surgery is unclear. We aimed at studying the prevalence and distribution of H. pylori in patients who had undergone peptic ulcer surgery, and any association between H. pylori infection and ulcer recurrence in these patients. Methods: Patients with previous vagotomy or partial gastrectomy presenting with dyspepsia or ulcer bleeding were recruited. Ulcer recurrence was documented by endoscopy. Biopsy specimens were taken from the gastric remnant and gastroenteric anastomosis in patients with previous partial gastrectomy, or from the antrum and corpus in vagotomized patients. H. pylori infection was detected by either a positive rapid urease test or the presence of the bacteria on histology. Results: Ninety-three patients were studied; 73 patients (78%) had partial gastrectomy and 20 (22%) had vagotomy with drainage. H. pylori infection was documented in 36 patients (49%) in the gastrectomy group and in 13 (65%) in the vagotomy group. Thirty-six patients in the gastrectomy group had recurrent ulcers and 15 (42%) of them had H. pylori infection. Twelve patients in the vagotomy group had recurrent ulcers and eight (67%) of them were H. pylori positive. The prevalence of H. pylori infection did not differ between patients with or without ulcer recurrence. Conclusion: H. pylori infection cannot account for ulcer recurrence after peptic ulcer surgery.
Persistent Identifierhttp://hdl.handle.net/10722/162253
ISSN
2015 Impact Factor: 10.383
2015 SCImago Journal Rankings: 3.946
References

 

DC FieldValueLanguage
dc.contributor.authorLee, YTen_US
dc.contributor.authorSung, JJYen_US
dc.contributor.authorChoi, CLen_US
dc.contributor.authorChan, FKLen_US
dc.contributor.authorNg, EKWen_US
dc.contributor.authorChing, JYLen_US
dc.contributor.authorLeung, WKen_US
dc.contributor.authorChung, SCSen_US
dc.date.accessioned2012-09-05T05:18:25Z-
dc.date.available2012-09-05T05:18:25Z-
dc.date.issued1998en_US
dc.identifier.citationAmerican Journal Of Gastroenterology, 1998, v. 93 n. 6, p. 928-931en_US
dc.identifier.issn0002-9270en_US
dc.identifier.urihttp://hdl.handle.net/10722/162253-
dc.description.abstractObjectives: Helicobacter pylori is the most important cause of recurrent peptic ulcer disease. However, its role in ulcer recurrence after peptic ulcer surgery is unclear. We aimed at studying the prevalence and distribution of H. pylori in patients who had undergone peptic ulcer surgery, and any association between H. pylori infection and ulcer recurrence in these patients. Methods: Patients with previous vagotomy or partial gastrectomy presenting with dyspepsia or ulcer bleeding were recruited. Ulcer recurrence was documented by endoscopy. Biopsy specimens were taken from the gastric remnant and gastroenteric anastomosis in patients with previous partial gastrectomy, or from the antrum and corpus in vagotomized patients. H. pylori infection was detected by either a positive rapid urease test or the presence of the bacteria on histology. Results: Ninety-three patients were studied; 73 patients (78%) had partial gastrectomy and 20 (22%) had vagotomy with drainage. H. pylori infection was documented in 36 patients (49%) in the gastrectomy group and in 13 (65%) in the vagotomy group. Thirty-six patients in the gastrectomy group had recurrent ulcers and 15 (42%) of them had H. pylori infection. Twelve patients in the vagotomy group had recurrent ulcers and eight (67%) of them were H. pylori positive. The prevalence of H. pylori infection did not differ between patients with or without ulcer recurrence. Conclusion: H. pylori infection cannot account for ulcer recurrence after peptic ulcer surgery.en_US
dc.languageengen_US
dc.publisherNature Publishing Group. The Journal's web site is located at http://www.nature.com/ajg/index.htmlen_US
dc.relation.ispartofAmerican Journal of Gastroenterologyen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshFemaleen_US
dc.subject.meshGastrectomyen_US
dc.subject.meshHelicobacter Infections - Complications - Microbiologyen_US
dc.subject.meshHelicobacter Pylori - Isolation & Purificationen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPeptic Ulcer - Microbiology - Surgeryen_US
dc.subject.meshRecurrenceen_US
dc.subject.meshVagotomyen_US
dc.titleUlcer recurrence after gastric surgery: Is Helicobacter pylori the culprit?en_US
dc.typeArticleen_US
dc.identifier.emailLeung, WK:waikleung@hku.hken_US
dc.identifier.authorityLeung, WK=rp01479en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.1572-0241.1998.00279.xen_US
dc.identifier.pmid9647021-
dc.identifier.scopuseid_2-s2.0-0032105373en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0032105373&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume93en_US
dc.identifier.issue6en_US
dc.identifier.spage928en_US
dc.identifier.epage931en_US
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridLee, YT=35477936800en_US
dc.identifier.scopusauthoridSung, JJY=35405352400en_US
dc.identifier.scopusauthoridChoi, CL=8041471300en_US
dc.identifier.scopusauthoridChan, FKL=7202586434en_US
dc.identifier.scopusauthoridNg, EKW=7201647539en_US
dc.identifier.scopusauthoridChing, JYL=7005086238en_US
dc.identifier.scopusauthoridLeung, WK=7201504523en_US
dc.identifier.scopusauthoridChung, SCS=19642462800en_US

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