Helicobacter pylori in dyspeptic children and adults: endoscopic, bacteriologic and histologic correlations

Memórias do Instituto Oswaldo Cruz

Claude A. Solari²  Roberta P. N. Araruna¹  Eliane M. F. Reis¹  Ernesto Hofer¹  Graça Dias¹  Glória Moraes¹  Carlos A. Basilio¹  Charisse M. S. Rodriguez¹  Luiz L. Luna¹ 

[1] ,Universidade Federal do Rio de Janeiro Escola de Medicina e Cirurgia Departamento de Patologia e Apoio ClínicoRio de Janeiro,Brasil

关键词: Helicobacter pylori;    gastric ulcer;    duodenal ulcer;    adults;    children;   

DOI  :  10.1590/S0074-02761994000400014

来源: SciELO

【 摘 要 】

Using different bacteriological (urease test, Gram staining and culture) and histological (Steiner staining and modified Giemsa staining) techniques, we searched for the presence of Helicobacter pylori in the gastric antrum of 200 dyspeptic Brazilian patients (106 females and 94 males aged 19 days to 81 years). The presence of bacteria was then correlated with the endoscopic and histological findings. H. pylori was present in 59.5 of the population studied. In Brazil, colonization occurs early, involving 37 of the dyspeptic population by 20 years of age. The presence of H. pylori in the gastric antrum was strongly associated with duodenal ulcer (P < 0.001) and a normal endoscopic examination did not exclude the possibility of colonization of the gastric antrum by H. pylori. The most sensitive test was the preformed urease test (89). We conclude that more than one diagnostic method should preferably be used for the detection of H. pylori and that the presence of H. pylori is closely correlated with active chronic gastritis (P < 0.001).

【 授权许可】

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