HISTOPATHOLOGICAL CHARACTERISTICS OF GASTRIC MUCOSA IN HELICOBACTER PYLORI-POSITIVE DUODENAL ULCER PATIENTS

Thanh Liêm Nguyễn1,, Bá Vượng Nguyễn2, Thị Phương Liên Đinh 2, Văn Luân Nguyễn1, Thị Thúy Loan Lê1
1 Can Tho University of Medicine - Pharmacy
2 Vietnam Military Medical Academy

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Abstract

Objective: Determination of the rate of histopathological damage of gastric mucosa in duodenal ulcer patients infected with H. pylori. Subjects and methods: The study was carried out at Can Tho University of Medicine and Pharmacy Hospital from January 2015 to December 2016. We performed gastrointestinal endoscopy to diagnose duodenal ulcer, gastric mucosa biopsy for rapid urease test, histopathology for H. pylori bacteria and lesions on histopathology. Results: Histopathology of gastric mucosa in 102 duodenal ulcer patients with H. pylori infection participating in the study. Active chronic inflammation accounted for 87.3%, atrophic inflammation accounted for 56.9% and intestinal metaplasia accounted for 18.6%. There was no association between chronic active inflammation, atrophic inflammation and intestinal metaplasia with gender, age group and H. pylori density. Conclusion: The most common histopathology of gastric mucosa is chronic active inflammation, atrophic inflammation; Intestinal metaplasia is less common. Chronic active inflammation, atrophic inflammation and intestinal metaplasia were not associated with H. pylori density in duodenal ulcer patients with H. pylori infection.

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References

1. Graham Y.D. (2014). History of Helicobacter pylori, duodenal ulcer, gastric ulcer and gastric cancer. World J Gastroenterol., 20(18): 5191-5204.
2. Malfertheiner P., Chan K.F., McColl E.K. (2009). Peptic ulcer disease. Lancet., 374(9699): 1449-1461.
3. Correa, P. and Piazuelo M.B. (2012). The gastric precancerous cascade. J Dig Dis., 13(1): 2-9.
4. Song H., et al. (2015). Incidence of gastric cancer among patients with gastric precancerous lesions: observational cohort study in a low risk Western population. BMJ., 351: h3867.
5. Tytgat J.N.G., Tytgat J.A.S. (2009). Inflammatory Disorders . In: Grading and Staging in Gastroenterology. Thieme, New York: 130-145.
6. Dixon F.M., Path C.R.F., Genta M.R., et al. (1996). Classification and grading of gastritis. The updated Sydney System. Am J Surg Pathol., 20(10): 1161-1181.
7. Lê Văn Nho (2012). Nghiên cứu lâm sàng, nội soi, mô bệnh học, gen cagA, vacA và hiệu quả của phác đồ Esomeprazol – Amoxycillin- Clarythromycin ở bệnh nhân loét tá tràng Helicobacter pylori (+), Luận án Tiến sĩ Y học, Trường Đại học y dược Huế.
8. Hồ Đăng Quý Dũng (2012). Nghiên cứu mối liên quan giữa các týp cacA, vacA của Helicobacter pylori, nồng độ gastrin, pepsinogen và mô bệnh học ở bệnh nhân viêm dạ dày mạn, Luận án Tiến sĩ Y học, Viện nghiên cứu khoa học Y dược lâm sàng 108.
9. Nguyễn Đô (2017). Khảo sát sự tương quan giữa mức độ tổn thương viêm dạ dày theo phân loại Sydney cải tiến với tình trạng nhiễm HP. Y học TP. Hồ Chí Minh., 21(3): 142-148.
10. Shah K.D., Jain S.S., Mohite A., et al. (2015). Effect of H. pylori density by histopathology on its complications and eradication therapy. Trop Gastroenterol., 36(2): 101-106.