Bacterial species and total bacterial load in the distal oesophagus in patients with and without clinical gastric reflux

Aims The purpose of this study is to compare distal oesophagus of persons with and without gastric reflux in terms of bacterial load and presence of certain bacterial species. Methods and Results Two biopsy specimens were obtained from the distal oesophagus at 5 cm above the gastroesophageal junctio...

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Veröffentlicht in:Journal of applied microbiology 2019-06, Vol.126 (6), p.1891-1898
Hauptverfasser: Kayar Dogan, E., Abaci Gunyar, O., Topal, F., Alper, E., Ekinci, N.
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container_end_page 1898
container_issue 6
container_start_page 1891
container_title Journal of applied microbiology
container_volume 126
creator Kayar Dogan, E.
Abaci Gunyar, O.
Topal, F.
Alper, E.
Ekinci, N.
description Aims The purpose of this study is to compare distal oesophagus of persons with and without gastric reflux in terms of bacterial load and presence of certain bacterial species. Methods and Results Two biopsy specimens were obtained from the distal oesophagus at 5 cm above the gastroesophageal junction of each of the 50 patients (20 with normal oesophagus and 30 with reflux oesophagitis) under endoscopic examination and used for histological examination and DNA isolation. We used a real‐time PCR‐based assay to quantify the bacterial load and the presence of certain bacterial species from one of the biopsy samples. The biopsy specimens taken from the patients with reflux oesophagitis were consistent with gastroesophageal reflux disease (GERD). The bacterial load did not significantly differ between the groups (P 
doi_str_mv 10.1111/jam.14250
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Methods and Results Two biopsy specimens were obtained from the distal oesophagus at 5 cm above the gastroesophageal junction of each of the 50 patients (20 with normal oesophagus and 30 with reflux oesophagitis) under endoscopic examination and used for histological examination and DNA isolation. We used a real‐time PCR‐based assay to quantify the bacterial load and the presence of certain bacterial species from one of the biopsy samples. The biopsy specimens taken from the patients with reflux oesophagitis were consistent with gastroesophageal reflux disease (GERD). The bacterial load did not significantly differ between the groups (P &lt; 0·005). Conclusion While there was no difference between the bacterial load in the two groups, variation was observed in bacterial species. Most of the bacteria identified in distal oesophagus of the patients with gastroesophageal reflux were Gram negative. Significance and Impact of the Study The human oesophagus was considered sterile until quite recently. Molecular techniques displayed the presence of a diverse bacterial species in the oesophagus. Although it is known that dysbiosis in the oesophagus causes GERD, and that Barrett's oesophagus can trigger the development of oesophageal adenocarcinoma, its etiopathogenesis is not clear. A limited number of published studies support the importance of the present study.</description><identifier>ISSN: 1364-5072</identifier><identifier>EISSN: 1365-2672</identifier><identifier>DOI: 10.1111/jam.14250</identifier><identifier>PMID: 30873693</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adenocarcinoma ; Bacteria ; bacterial load ; bacterial species ; Barrett's esophagus ; Biopsy ; distal oesophagus ; Dysbacteriosis ; Esophageal cancer ; Esophagitis ; Gastric cancer ; gastric reflux ; Gastroesophageal reflux ; real‐time PCR ; Species</subject><ispartof>Journal of applied microbiology, 2019-06, Vol.126 (6), p.1891-1898</ispartof><rights>2019 The Society for Applied Microbiology</rights><rights>2019 The Society for Applied Microbiology.</rights><rights>Copyright © 2019 The Society for Applied Microbiology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3130-a51b15f85ee4a967af54fa6c09a425d778664f56477e457ea1d6540b6ef1d8443</cites><orcidid>0000-0002-4033-1862</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjam.14250$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjam.14250$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30873693$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kayar Dogan, E.</creatorcontrib><creatorcontrib>Abaci Gunyar, O.</creatorcontrib><creatorcontrib>Topal, F.</creatorcontrib><creatorcontrib>Alper, E.</creatorcontrib><creatorcontrib>Ekinci, N.</creatorcontrib><title>Bacterial species and total bacterial load in the distal oesophagus in patients with and without clinical gastric reflux</title><title>Journal of applied microbiology</title><addtitle>J Appl Microbiol</addtitle><description>Aims The purpose of this study is to compare distal oesophagus of persons with and without gastric reflux in terms of bacterial load and presence of certain bacterial species. Methods and Results Two biopsy specimens were obtained from the distal oesophagus at 5 cm above the gastroesophageal junction of each of the 50 patients (20 with normal oesophagus and 30 with reflux oesophagitis) under endoscopic examination and used for histological examination and DNA isolation. We used a real‐time PCR‐based assay to quantify the bacterial load and the presence of certain bacterial species from one of the biopsy samples. The biopsy specimens taken from the patients with reflux oesophagitis were consistent with gastroesophageal reflux disease (GERD). The bacterial load did not significantly differ between the groups (P &lt; 0·005). Conclusion While there was no difference between the bacterial load in the two groups, variation was observed in bacterial species. Most of the bacteria identified in distal oesophagus of the patients with gastroesophageal reflux were Gram negative. Significance and Impact of the Study The human oesophagus was considered sterile until quite recently. Molecular techniques displayed the presence of a diverse bacterial species in the oesophagus. Although it is known that dysbiosis in the oesophagus causes GERD, and that Barrett's oesophagus can trigger the development of oesophageal adenocarcinoma, its etiopathogenesis is not clear. 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Methods and Results Two biopsy specimens were obtained from the distal oesophagus at 5 cm above the gastroesophageal junction of each of the 50 patients (20 with normal oesophagus and 30 with reflux oesophagitis) under endoscopic examination and used for histological examination and DNA isolation. We used a real‐time PCR‐based assay to quantify the bacterial load and the presence of certain bacterial species from one of the biopsy samples. The biopsy specimens taken from the patients with reflux oesophagitis were consistent with gastroesophageal reflux disease (GERD). The bacterial load did not significantly differ between the groups (P &lt; 0·005). Conclusion While there was no difference between the bacterial load in the two groups, variation was observed in bacterial species. Most of the bacteria identified in distal oesophagus of the patients with gastroesophageal reflux were Gram negative. Significance and Impact of the Study The human oesophagus was considered sterile until quite recently. Molecular techniques displayed the presence of a diverse bacterial species in the oesophagus. Although it is known that dysbiosis in the oesophagus causes GERD, and that Barrett's oesophagus can trigger the development of oesophageal adenocarcinoma, its etiopathogenesis is not clear. A limited number of published studies support the importance of the present study.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>30873693</pmid><doi>10.1111/jam.14250</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-4033-1862</orcidid></addata></record>
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source Oxford University Press Journals All Titles (1996-Current); Wiley Online Library Journals Frontfile Complete
subjects Adenocarcinoma
Bacteria
bacterial load
bacterial species
Barrett's esophagus
Biopsy
distal oesophagus
Dysbacteriosis
Esophageal cancer
Esophagitis
Gastric cancer
gastric reflux
Gastroesophageal reflux
real‐time PCR
Species
title Bacterial species and total bacterial load in the distal oesophagus in patients with and without clinical gastric reflux
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