Abstract | BACKGROUND: The development of a second primary cancer in the gastric remnant after gastrectomy for early gastric carcinoma is a problem, and eradication of Helicobacter pylori after the operation has been recommended. However, to date, practical indications for H. pylori eradication after gastric cancer surgery have not yet been reported. METHODS: We examined H. pylori infection in the gastric remnant after distal gastrectomy for primary gastric cancer. One hundred and nine patients who had had a gastrectomy were studied. Endoscopic findings and results from the urease test, bacteriologic assessment, serological test, and histopathological examination were analyzed. RESULTS: Seventy-one patients (65.1%) were judged to be positive for H. pylori infection. The prevalence of H. pylori infection was found to be significantly decreased in older patients, patients in whom the operation had been performed a long time before examination, patients with symptoms, and patients with severe reflux gastritis. On the other hand, histologically, chronic and acute gastritis correlated significantly with H. pylori infection. H. pylori prevalence was highest in mildly atrophic mucosa and decreased with more extensive atrophic changes of the mucosa. CONCLUSIONS:
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Authors | N Onoda, K Maeda, T Sawada, K Wakasa, T Arakawa, K H Chung |
Journal | Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association
(Gastric Cancer)
Vol. 4
Issue 2
Pg. 87-92
( 2001)
ISSN: 1436-3291 [Print] Japan |
PMID | 11706766
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Breath Tests
- Endoscopy
- Female
- Gastrectomy
- Gastritis
(etiology)
- Helicobacter Infections
(epidemiology, etiology)
- Helicobacter pylori
(isolation & purification, pathogenicity)
- Humans
- Male
- Middle Aged
- Prevalence
- Stomach Neoplasms
(complications, microbiology, surgery)
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