Gastro-oesophageal reflux disease and Helicobacter pylori: an intricate relation.

Abstract:

:Heartburn is a common symptom affecting 21-44% of the adult population on a monthly basis. Oesophagitis is less common, affecting 2% of individuals. Epidemiological studies have shown that patients with gastro-oesophageal reflux disease (GORD) have similar incidence rates of Helicobacter pylori infection as do controls. Some groups have reported that there is a lower incidence, deducing that infection does not cause, and in some way confers protection against GORD. Additional supportive evidence is available from reports of GORD development following successful H pylori eradication. The mechanisms involved are complicated. Individuals with H pylori induced pangastritis and subsequent hypochlorhydria may be protected whereas those with an antral predominant gastritis, as in duodenal ulcer disease, with an increased acid output may be prone to development of GORD. Recent evidence has linked H pylori infection with the development of inflammation of the gastric cardia---carditis. Reports are available which show that carditis is a frequent finding in patients with GORD. The incidence of both cardia and oesophageal carcinoma is increasing. The relation between GORD, carditis, intestinal metaplasia, and cardia carcinoma is unclear. Intestinal metaplasia may result from multifocal atrophic gastritis, linked to H pylori infection or from GORD and the development of Barrett's oesophagus. Long term follow up studies will be required to assess the malignant potential of these histological entities and whether or not H pylori infection has an aetiological role.

journal_name

Gut

journal_title

Gut

authors

McNamara D,O'Morain C

doi

10.1136/gut.45.2008.i13

keywords:

subject

Has Abstract

pub_date

1999-07-01 00:00:00

pages

I13-7

eissn

0017-5749

issn

1468-3288

journal_volume

45 Suppl 1

pub_type

杂志文章,评审

相关文献

GUT文献大全
  • Inflammatory bowel disease: re-evaluation of the diagnosis in a prospective population based study in south eastern Norway.

    abstract:BACKGROUND:The incidence figures for ulcerative colitis (UC) and Crohn's disease (CD) have been difficult to interpret, and geographical variations may be due to differences in classification criteria and study design. Few studies have based the incidence on prospective systematic follow up to confirm the initial diagn...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.40.3.328

    authors: Moum B,Ekbom A,Vatn MH,Aadland E,Sauar J,Lygren I,Schulz T,Stray N,Fausa O

    更新日期:1997-03-01 00:00:00

  • What activates visceral afferents?

    abstract::Vagal and spinal afferents represent the information superhighways that convey sensory information from the gut to the central nervous system. These afferents are sensitive to both mechanical and chemical stimuli. Vagal afferents terminate in the muscle layers and in the mucosa. Muscle afferents are activated at physi...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2003.033415

    authors: Grundy D

    更新日期:2004-03-01 00:00:00

  • Studies of gut mucosal protein synthesis in a non-steroidal anti-inflammatory drug (NSAID) model of inflammatory bowel disease.

    abstract::The extent to which defects in protein synthesis occurred in an experimental indomethacin induced rat model of nonsteroidal enteropathy has been examined. Male rats (nine) were fed indomethacin (8 mg/kg/day) for three days mixed with a powdered form of chow. The control group of rats (nine) were fed the same diet for ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.33.2.242

    authors: Banerjee AK,Marway JS,Preedy VR,Peters TJ

    更新日期:1992-02-01 00:00:00

  • Effect of carbenoxolone on the synthesis of glycoproteins and DNA in rat gastric epithelial cells.

    abstract::The influence of carbenoxolone on the synthesis of glycoproteins in the surface mucous cells and the production of new cells in the rat gastric mucosa was studied by means of a vascular perfusion system. The rate of incorporation of tritiated galactose, glucosamine, serine, and sulphate in surface mucous cells, studie...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.22.10.782

    authors: van Huis GA,Kramer MF

    更新日期:1981-10-01 00:00:00

  • Impact of sustained virological response on the extrahepatic manifestations of chronic hepatitis C: a meta-analysis.

    abstract:BACKGROUND AND AIMS:Extrahepatic manifestations of HCV are responsible for morbidity and mortality in many chronically infected patients. New, interferon-free antiviral treatment regimens, which present the opportunity to treat all HCV-infected patients, call for a better understanding of the benefits of treating non-c...

    journal_title:Gut

    pub_type: 杂志文章,meta分析

    doi:10.1136/gutjnl-2018-316234

    authors: Cacoub P,Desbois AC,Comarmond C,Saadoun D

    更新日期:2018-11-01 00:00:00

  • The prognostic value of TP53 mutations in oesophageal adenocarcinoma: a systematic review and meta-analysis.

    abstract:OBJECTIVE:To clarify the prognostic role of tumour protein 53 (TP53) mutations in patients with oesophageal adenocarcinoma (OAC) as there is a need for biomarkers that assist in guiding management for patients with OAC. DESIGN:A systematic review was conducted using MEDLINE, Embase, PubMed and Current Contents Connect...

    journal_title:Gut

    pub_type: 杂志文章,meta分析,评审

    doi:10.1136/gutjnl-2015-310888

    authors: Fisher OM,Lord SJ,Falkenback D,Clemons NJ,Eslick GD,Lord RV

    更新日期:2017-03-01 00:00:00

  • Incidence and significance of faecal hydroxystearic acid in alimentary disease.

    abstract::Three-day faecal collections were obtained from 87 patients with a variety of gastroenterological diagnoses and 12 control subjects while consuming normal diets. Faecal weight, total fatty acids, and the proportion of hydroxystearic (OHSA) acid were measured. All patients had some easily detectable hydroxystearic acid...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.15.8.614

    authors: Wiggins HS,Pearson JR,Walker JG,Russell RI,Kellock TD

    更新日期:1974-08-01 00:00:00

  • Risk for hepatocellular carcinoma with respect to hepatitis B virus genotypes B/C, specific mutations of enhancer II/core promoter/precore regions and HBV DNA levels.

    abstract:BACKGROUND/AIM:To examine the risks for hepatocellular carcinoma (HCC) with respect to hepatitis B virus (HBV) genotypes, specific viral mutations (MT), serum HBV DNA levels, and cirrhosis. METHODS:HBV genotypes, 1653/1753/core promoter (CP)/precore MT and HBV DNA levels were determined in 248 HBV patients with HCC an...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2007.119859

    authors: Yuen MF,Tanaka Y,Shinkai N,Poon RT,But DY,Fong DY,Fung J,Wong DK,Yuen JC,Mizokami M,Lai CL

    更新日期:2008-01-01 00:00:00

  • Chloride dependent amino acid transport in the human small intestine.

    abstract::Carriers of beta amino acids and imino acids in the small intestine of rabbits and guinea pigs are chloride dependent, and a cotransport of chloride, sodium, and 2-methyl-aminoisobutyric acid has been shown. This study examines the chloride dependence of amino acid transport in the human small intestine. The steady st...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.36.2.215

    authors: Munck LK

    更新日期:1995-02-01 00:00:00

  • Pathophysiological role of secretory type I and II phospholipase A2 in acute pancreatitis: an experimental study in rats.

    abstract:BACKGROUND:In human acute pancreatitis two different types of secretory phospholipase A2 (PLA2) have been found. AIM:To analyse the specific pattern of distribution of these PLA2 activities and their pathophysiological role in experimental acute pancreatitis. SUBJECTS AND METHODS:Catalytic activities of secretory typ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.40.3.386

    authors: Uhl W,Schrag HJ,Schmitter N,Nevalainen TJ,Aufenanger J,Wheatley AM,Büchler MW

    更新日期:1997-03-01 00:00:00

  • Impact of surveillance for Barrett's oesophagus on tumour stage and survival of patients with neoplastic progression.

    abstract:OBJECTIVE:Endoscopic surveillance for Barrett's oesophagus (BO) is under discussion given the overall low incidence of neoplastic progression and lack of evidence that it prevents advanced oesophageal adenocarcinoma (OAC). The aim of this study was to evaluate the impact of endoscopic BO surveillance on tumour stage an...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究

    doi:10.1136/gutjnl-2014-308802

    authors: Kastelein F,van Olphen SH,Steyerberg EW,Spaander MC,Bruno MJ,ProBar-Study Group.

    更新日期:2016-04-01 00:00:00

  • T cell-dependent protective effects of CpG motifs of bacterial DNA in experimental colitis are mediated by CD11c+ dendritic cells.

    abstract:BACKGROUND:Oligodeoxynucleotides (ODNs) containing unmethylated cytosine-guanosine (CpG) sequence motifs constitute the immunostimulatory components of bacterial DNA which potently activate innate immunity. Administration of CpG-ODNs before the onset of experimental colitis prevents intestinal inflammation by induction...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2009.193177

    authors: Hofmann C,Dunger N,Grunwald N,Hämmerling GJ,Hoffmann P,Schölmerich J,Falk W,Obermeier F

    更新日期:2010-10-01 00:00:00

  • Evidence for the role of a human intestinal adenovirus in the pathogenesis of coeliac disease.

    abstract::We previously noted a region of amino acid sequence homology between A-gliadin, a major alpha-gliadin component known to activate coeliac disease, and the early region E1b protein of human adenovirus serotype 12 (Ad12), an adenovirus isolated from the human intestinal tract. In the present study sera from coeliac dise...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.8.995

    authors: Kagnoff MF,Paterson YJ,Kumar PJ,Kasarda DD,Carbone FR,Unsworth DJ,Austin RK

    更新日期:1987-08-01 00:00:00

  • The human trefoil peptide, TFF1, is present in different molecular forms that are intimately associated with mucus in normal stomach.

    abstract:BACKGROUND:TFF1 is a 6.5 kDa secreted protein that is expressed predominantly in normal gastric mucosa. It is coexpressed with mucins and it can form dimers via a free carboxy terminal cysteine residue. AIMS:To investigate the molecular forms of TFF1 that are present in normal human stomach and the association of the ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.46.3.312

    authors: Newton JL,Allen A,Westley BR,May FE

    更新日期:2000-03-01 00:00:00

  • Tripotassium dicitrato bismuthate (TDB) versus two different dosages of cimetidine in the treatment of resistant duodenal ulcers.

    abstract::The use of tripotassium dicitrato bismuthate (TDB) has been suggested recently for cimetidine resistant duodenal ulcers. This study compares the efficacy of TDB with two different cimetidine dosages in the treatment of duodenal ulcer patients who failed to respond to an eight week therapy with H2-blockers. Fifty two p...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.28.7.907

    authors: Bianchi Porro G,Parente F,Lazzaroni M

    更新日期:1987-07-01 00:00:00

  • Immunoelectrophoretic studies on human small intestinal brush border proteins--amount of lactase protein in adult-type hypolactasia.

    abstract::Jejunal biopsies from 15 Greenlandic and three Danish patients with adult type hypolactasia and nine Greenlandic and 15 Danish patients with normal lactase activity were analysed quantitatively for lactase protein by crossed immunoelectrophoresis. A constant correlation between the amount of lactase activity and immun...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.21.5.360

    authors: Skovbjerg H,Gudmand-Høyer E,Fenger HJ

    更新日期:1980-05-01 00:00:00

  • Association between Helicobacter pylori and mortality in the NHANES III study.

    abstract:OBJECTIVE:Persistent colonisation by Helicobacter pylori, and especially by cagA-positive strains, has been related to several health outcomes with effects in opposite directions. Thus, it is important to evaluate its influence on total and category-specific mortality. DESIGN:We conducted prospective cohort analyses i...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2012-303018

    authors: Chen Y,Segers S,Blaser MJ

    更新日期:2013-09-01 00:00:00

  • Card9 mediates susceptibility to intestinal pathogens through microbiota modulation and control of bacterial virulence.

    abstract:OBJECTIVE:In association with innate and adaptive immunity, the microbiota controls the colonisation resistance against intestinal pathogens. Caspase recruitment domain 9 (CARD9), a key innate immunity gene, is required to shape a normal gut microbiota. Card9-/- mice are more susceptible to the enteric mouse pathogen C...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2017-314195

    authors: Lamas B,Michel ML,Waldschmitt N,Pham HP,Zacharioudaki V,Dupraz L,Delacre M,Natividad JM,Costa GD,Planchais J,Sovran B,Bridonneau C,Six A,Langella P,Richard ML,Chamaillard M,Sokol H

    更新日期:2018-10-01 00:00:00

  • Pancreatic surgery, not pancreatitis, is the primary cause of diabetes after acute fulminant pancreatitis.

    abstract::Acute fulminant pancreatitis is associated with significant morbidity and mortality. To examine the outcome of conservative and surgical treatment of this disorder, 36 patients who survived an initial episode were restudied after a mean of six years. Fifty three per cent had developed diabetes mellitus, half of whom r...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.33.6.843

    authors: Eriksson J,Doepel M,Widén E,Halme L,Ekstrand A,Groop L,Höckerstedt K

    更新日期:1992-06-01 00:00:00

  • Performance of colorectal cancer screening in the European Union Member States: data from the second European screening report.

    abstract:OBJECTIVE:To present comparative data about the performance of colorectal cancer (CRC) screening programmes in the European Union Member States (EU MSs). DESIGN:Cross-sectional study. We analysed key performance indicators-participation rate, positivity rate (PR), detection rate (DR) and positive predictive value for ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2018-317293

    authors: Senore C,Basu P,Anttila A,Ponti A,Tomatis M,Vale DB,Ronco G,Soerjomataram I,Primic-Žakelj M,Riggi E,Dillner J,Elfström MK,Lönnberg S,Sankaranarayanan R,Segnan N

    更新日期:2019-07-01 00:00:00

  • Changes in oesophageal wall biomechanics after portal vein banding and variceal sclerotherapy measured by a new technique. An experimental study in rabbits.

    abstract::The biomechanical properties of the oesophageal wall were investigated in a rabbit model using a four electrode impedance technique. A specially designed probe with the electrodes inside a low pressure expandable insulating latex balloon was introduced in the oesophagus. Stepwise inflation and deflation was done for a...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.29.12.1699

    authors: Gregersen H,Jensen LS,Djurhuus JC

    更新日期:1988-12-01 00:00:00

  • Effect of hydrochloric acid and prostaglandins on pepsinogen synthesis and secretion in canine gastric chief cell monolayer cultures.

    abstract::The actions of hydrochloric acid, natural PGE1, PGE2 and a synthetic commercial PGE1 preparation, Enisoprost (Searle) on pepsinogen synthesis and secretion were studied in canine chief cell monolayer cultures. Hydrochloric acid, applied directly to the apical surface of chief cells using culture plate inserts (Millipo...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.30.6.774

    authors: Defize J,Hunt RH

    更新日期:1989-06-01 00:00:00

  • Potential difference across the normal and the abnormal gastric mucosa in man.

    abstract::The mucosal potential difference in the body of the stomach was measured in 18 patients with gastric ulcers, five with gastritis, and three with pernicious anaemia. The results were compared with those of 12 normal volunteers. Significantly lower than normal levels were found in the groups of patients with gastric ulc...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.17.12.993

    authors: Hossenbocus A,Fitzpatrick P,Colin-Jones DG

    更新日期:1976-12-01 00:00:00

  • Electrical stimulation and insulin tests used with bilateral selective vagotomy.

    abstract::Completeness of vagotomy has been assessed by use of the electrical stimulation test and the insulin test in 50 patients suffering from chronic duodenal ulceration. A positive result from either was taken as evidence of incomplete vagotomy. The electrical stimulation test provided such evidence more often than the ins...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.12.8.629

    authors: Hollanders D

    更新日期:1971-08-01 00:00:00

  • Fracture risk is increased in Crohn's disease, but not in ulcerative colitis.

    abstract:AIMS:To study fracture rates and risk factors for fractures in patients with Crohn's disease and ulcerative colitis. METHODS:998 self administered questionnaires were issued to members of the Danish Colitis/Crohn Association, and 1000 questionnaires were issued to randomly selected control subjects. 845 patients (84.5...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.46.2.176

    authors: Vestergaard P,Krogh K,Rejnmark L,Laurberg S,Mosekilde L

    更新日期:2000-02-01 00:00:00

  • Hepatic Hippo signaling inhibits protumoural microenvironment to suppress hepatocellular carcinoma.

    abstract:OBJECTIVE:Hippo signalling is a recently identified major oncosuppressive pathway that plays critical roles in inhibiting hepatocyte proliferation, survival and hepatocellular carcinoma (HCC) formation. Hippo kinase (Mst1 and Mst2) inhibits HCC proliferation by suppressing Yap/Taz transcription activities. As human HCC...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2017-314061

    authors: Kim W,Khan SK,Liu Y,Xu R,Park O,He Y,Cha B,Gao B,Yang Y

    更新日期:2018-09-01 00:00:00

  • Effect of secretogogues on mucosal blood flow in the antrum and corpus of the stomach.

    abstract::Gastric mucosal blood flow in the rat was determined by the indicator fractionation technique of Sapirstein using Rb86Cl. Antral and corpus flow rates were determined in response to increasing doses of pentagastrin and histamine and the effect of vagotomy was determined. With progressive stimulation the antral:corpus ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.19.1.14

    authors: Taylor TV,Pullan BR,Goddard J,Torrance B

    更新日期:1978-01-01 00:00:00

  • Extrapancreatic necrosis without pancreatic parenchymal necrosis: a separate entity in necrotising pancreatitis?

    abstract:OBJECTIVE:In the revised Atlanta classification of acute pancreatitis, the term necrotising pancreatitis also refers to patients with only extrapancreatic fat necrosis without pancreatic parenchymal necrosis (EXPN), as determined on contrast-enhanced CT (CECT). Patients with EXPN are thought to have a better clinical o...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究

    doi:10.1136/gutjnl-2012-302870

    authors: Bakker OJ,van Santvoort H,Besselink MG,Boermeester MA,van Eijck C,Dejong K,van Goor H,Hofker S,Ahmed Ali U,Gooszen HG,Bollen TL,Dutch Pancreatitis Study Group.

    更新日期:2013-10-01 00:00:00

  • The effect of vagotomy and drainage on the small bowel flora.

    abstract::The incidence of small intestinal colonization in unoperated duodenal ulcer patients was low and similar to that in the normal population. The majority of patients seven to 10 days following truncal vagotomy and drainage were colonized whereas none of a control group of patients following simple closure of a perforate...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.15.2.139

    authors: Browning GG,Buchan KA,Mackay C

    更新日期:1974-02-01 00:00:00

  • Effect of the gastric balloon versus sham procedure on weight loss in obese subjects.

    abstract::The mechanism by which intragastric balloons induce weight loss is not known, although they may act simply by reducing the amount of food needed to induce satiety. The knowledge that a balloon is present may influence the patients' eating patterns and reduce caloric intake and weight. In order to test whether the ball...

    journal_title:Gut

    pub_type: 临床试验,杂志文章

    doi:10.1136/gut.30.8.1054

    authors: Ramhamadany EM,Fowler J,Baird IM

    更新日期:1989-08-01 00:00:00