Curing Helicobacter pylori infection in patients with duodenal ulcer may provoke reflux esophagitis.

Abstract:

BACKGROUND & AIMS:We have shown previously that cure of Helicobacter pylori infection leads to the disappearance of acid-neutralizing substances. Also, patients with ulcer after cure may gain weight. The aim of this study was to investigate whether cure of the infection increases the risk of reflux esophagitis. METHODS:Patients with duodenal ulcer without reflux esophagitis at the time of Helicobacter treatment were followed up prospectively after cure of the infection (n = 244) or after diagnosis of persisting infection (n = 216). All patients underwent endoscopy at 1-year intervals or when upper gastrointestinal symptoms recurred. H. pylori infection was assessed by rapid urease test and histology. RESULTS:The estimated incidence of reflux esophagitis within 3 years was 25.8% after cure of the infection and 12.9% when the infection was ongoing (P < 0.001). Patients who developed reflux esophagitis after the cure had a more severe body gastritis before cure (odds ratio, 5.5; 95% confidence interval [CI], 2.8-13.6), gained weight more frequently after cure (odds ratio, 3.2; 95% CI, 1.2-9.4), and were predominantly men (odds ratio, 3.6; 95% CI, 1.1-10.6). CONCLUSIONS:A considerable proportion of patients with duodenal ulcer treated for H. pylori will develop reflux esophagitis; risk factors are male sex, severity of corpus gastritis, and weight gain.

journal_name

Gastroenterology

journal_title

Gastroenterology

authors

Labenz J,Blum AL,Bayerdörffer E,Meining A,Stolte M,Börsch G

doi

10.1016/s0016-5085(97)70024-6

subject

Has Abstract

pub_date

1997-05-01 00:00:00

pages

1442-7

issue

5

eissn

0016-5085

issn

1528-0012

pii

S0016508597002102

journal_volume

112

pub_type

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