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The effects of eradication of Helicobacter pylori on the recurrence of duodenal ulcers in patients with cirrhosis.

Abstract：

BACKGROUND:The role of Helicobacter pylori in patients with cirrhosis and increased prevalence of peptic ulcers is still poorly defined. The objective is to evaluate the effect of H pylori eradication on ulcer recurrence in patients with cirrhosis. METHODS:The study was conducted at a single, tertiary, referral hospital with 1200 beds. Patients with cirrhosis and duodenal ulcers were tested for H pylori and were enrolled in the study. Patients with positive H pylori received eradication therapy. Patients with duodenal ulcers received antisecretory therapy and regular endoscopic examinations. Main outcome measurements were the recurrence of duodenal ulcers within 1 year. RESULTS:A total of 104 patients with cirrhosis and duodenal ulcers were enrolled. Fifty-four patients (52%) were H pylori positive, and 50 patients (48%) were H pylori negative. Forty-four patients received antimicrobial treatment and 36 patients achieved eradication of H pylori. Recurrent duodenal ulcers within 1 year were noted in 21 of 36 patients (58%) who achieved H pylori eradication. Recurrent duodenal ulcers also were noted in 8 of the 18 patients (44%) who remained H pylori positive and in 24 of the patients (48%) who were H pylori negative since their enrollment in the study (p = 0.53). The limitation was a relatively small sample size. CONCLUSIONS:The results of our study showed that the prevalence of H pylori in patients with cirrhosis and duodenal ulcers was only 52%. Eradication of H pylori in patients with cirrhosis and duodenal ulcers did not effectively reduce the recurrence of ulcers.

journal_name

Gastrointest Endosc

journal_title

Gastrointestinal endoscopy

authors

Lo GH,Yu HC,Chan YC,Chen WC,Hsu PI,Lin CK,Lai KH

doi

10.1016/s0016-5107(05)01633-0

keywords:

subject

Has Abstract

pub_date

2005-09-01 00:00:00

pages

350-6

issue

3

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(05)01633-0

journal_volume

62

pub_type

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