Characteristics of gastroduodenal ulcers in patients with negative biopsies for Helicobacter pylori
To evaluate the clinical, epidemiological and endoscopic characteristics of the Helicobacter pylori (Hp) negative peptic ulcer disease. In this cross sectional study we included 651 patients diagnosed of peptic ulcer disease between January 2000 and December 2005. The diagnosis of Hp infection was e...
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| Veröffentlicht in: | Acta gastroenterologica latinoamericana 2010-03, Vol.40 (1), p.40-45 |
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| creator | Teves, Pedro Montes Ventura, Sonia Salazar Salgado, Eduardo Monge |
| description | To evaluate the clinical, epidemiological and endoscopic characteristics of the Helicobacter pylori (Hp) negative peptic ulcer disease.
In this cross sectional study we included 651 patients diagnosed of peptic ulcer disease between January 2000 and December 2005. The diagnosis of Hp infection was established by histology. Clinical and epidemiological characteristics of patients with and without Hp infection were compared.
Males prevailed (69%). Hp negative ulcers were older (57.73 +/- 19.44 years old vs 50.26 +/- 18, 64 years old, P < 0.001). Clinical characteristics did not differ among both groups. Duodenal ulcer prevailed in Hp positive patients (56.5%) and gastric ulcer in Hp negative patients (53.5%). Multiple ulcers and intestinal metaplasia were more frequently found in Hp negative cases [9.3% vs 4.5% (P = 0.015) and 34.5% vs 22.1% (P = 0.001), respectively]. CONCLUSION. Hp negative peptic ulcer disease is found in older patients, with a higher frequency of gastric ulcers, multiple lesions and intestinal metaplasia. |
| format | Article |
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In this cross sectional study we included 651 patients diagnosed of peptic ulcer disease between January 2000 and December 2005. The diagnosis of Hp infection was established by histology. Clinical and epidemiological characteristics of patients with and without Hp infection were compared.
Males prevailed (69%). Hp negative ulcers were older (57.73 +/- 19.44 years old vs 50.26 +/- 18, 64 years old, P < 0.001). Clinical characteristics did not differ among both groups. Duodenal ulcer prevailed in Hp positive patients (56.5%) and gastric ulcer in Hp negative patients (53.5%). Multiple ulcers and intestinal metaplasia were more frequently found in Hp negative cases [9.3% vs 4.5% (P = 0.015) and 34.5% vs 22.1% (P = 0.001), respectively]. CONCLUSION. Hp negative peptic ulcer disease is found in older patients, with a higher frequency of gastric ulcers, multiple lesions and intestinal metaplasia.</description><identifier>ISSN: 0300-9033</identifier><identifier>PMID: 20446395</identifier><language>spa</language><publisher>Argentina</publisher><subject>Aged ; Biopsy ; Cohort Studies ; Cross-Sectional Studies ; Duodenal Ulcer - epidemiology ; Duodenal Ulcer - microbiology ; Duodenal Ulcer - pathology ; Endoscopy, Gastrointestinal ; Female ; Helicobacter Infections - epidemiology ; Helicobacter Infections - pathology ; Helicobacter pylori - isolation & purification ; Humans ; Male ; Metaplasia ; Middle Aged ; Stomach Ulcer - epidemiology ; Stomach Ulcer - microbiology ; Stomach Ulcer - pathology</subject><ispartof>Acta gastroenterologica latinoamericana, 2010-03, Vol.40 (1), p.40-45</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20446395$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Teves, Pedro Montes</creatorcontrib><creatorcontrib>Ventura, Sonia Salazar</creatorcontrib><creatorcontrib>Salgado, Eduardo Monge</creatorcontrib><title>Characteristics of gastroduodenal ulcers in patients with negative biopsies for Helicobacter pylori</title><title>Acta gastroenterologica latinoamericana</title><addtitle>Acta Gastroenterol Latinoam</addtitle><description>To evaluate the clinical, epidemiological and endoscopic characteristics of the Helicobacter pylori (Hp) negative peptic ulcer disease.
In this cross sectional study we included 651 patients diagnosed of peptic ulcer disease between January 2000 and December 2005. The diagnosis of Hp infection was established by histology. Clinical and epidemiological characteristics of patients with and without Hp infection were compared.
Males prevailed (69%). Hp negative ulcers were older (57.73 +/- 19.44 years old vs 50.26 +/- 18, 64 years old, P < 0.001). Clinical characteristics did not differ among both groups. Duodenal ulcer prevailed in Hp positive patients (56.5%) and gastric ulcer in Hp negative patients (53.5%). Multiple ulcers and intestinal metaplasia were more frequently found in Hp negative cases [9.3% vs 4.5% (P = 0.015) and 34.5% vs 22.1% (P = 0.001), respectively]. CONCLUSION. Hp negative peptic ulcer disease is found in older patients, with a higher frequency of gastric ulcers, multiple lesions and intestinal metaplasia.</description><subject>Aged</subject><subject>Biopsy</subject><subject>Cohort Studies</subject><subject>Cross-Sectional Studies</subject><subject>Duodenal Ulcer - epidemiology</subject><subject>Duodenal Ulcer - microbiology</subject><subject>Duodenal Ulcer - pathology</subject><subject>Endoscopy, Gastrointestinal</subject><subject>Female</subject><subject>Helicobacter Infections - epidemiology</subject><subject>Helicobacter Infections - pathology</subject><subject>Helicobacter pylori - isolation & purification</subject><subject>Humans</subject><subject>Male</subject><subject>Metaplasia</subject><subject>Middle Aged</subject><subject>Stomach Ulcer - epidemiology</subject><subject>Stomach Ulcer - microbiology</subject><subject>Stomach Ulcer - pathology</subject><issn>0300-9033</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1UMFqwzAU82FjLV1_Yfi2U8CN85zkOMq2Dgq79B5e7OfWw40z29no3y9snS5CICSkG7YUUoiiFVIu2DqlDzFDtkpAfccWpagqJVtYMr09YUSdKbqUnU48WH7ElGMwUzA0oOeT1xQTdwMfMTsacuLfLp_4QMdZfxHvXRiTo8RtiHxH3unQ_0by8eJDdPfs1qJPtL7yih1eng_bXbF_f33bPu2LEQAKshZgo8D0tTRASFXdoKC2rmVpEAyYhjaoqtKYxtqyNbpXqkcpSgBdqVau2ONf7BjD50Qpd2eXNHmPA4UpdbWcF88V1ex8uDqn_kymG6M7Y7x0_7fIH7A8YKg</recordid><startdate>201003</startdate><enddate>201003</enddate><creator>Teves, Pedro Montes</creator><creator>Ventura, Sonia Salazar</creator><creator>Salgado, Eduardo Monge</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201003</creationdate><title>Characteristics of gastroduodenal ulcers in patients with negative biopsies for Helicobacter pylori</title><author>Teves, Pedro Montes ; Ventura, Sonia Salazar ; Salgado, Eduardo Monge</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p555-eff55165db73d5eae478a0e97732da5d5d8e1a642dd8ff29dcb66ba30255c4693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Biopsy</topic><topic>Cohort Studies</topic><topic>Cross-Sectional Studies</topic><topic>Duodenal Ulcer - epidemiology</topic><topic>Duodenal Ulcer - microbiology</topic><topic>Duodenal Ulcer - pathology</topic><topic>Endoscopy, Gastrointestinal</topic><topic>Female</topic><topic>Helicobacter Infections - epidemiology</topic><topic>Helicobacter Infections - pathology</topic><topic>Helicobacter pylori - isolation & purification</topic><topic>Humans</topic><topic>Male</topic><topic>Metaplasia</topic><topic>Middle Aged</topic><topic>Stomach Ulcer - epidemiology</topic><topic>Stomach Ulcer - microbiology</topic><topic>Stomach Ulcer - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Teves, Pedro Montes</creatorcontrib><creatorcontrib>Ventura, Sonia Salazar</creatorcontrib><creatorcontrib>Salgado, Eduardo Monge</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Acta gastroenterologica latinoamericana</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Teves, Pedro Montes</au><au>Ventura, Sonia Salazar</au><au>Salgado, Eduardo Monge</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Characteristics of gastroduodenal ulcers in patients with negative biopsies for Helicobacter pylori</atitle><jtitle>Acta gastroenterologica latinoamericana</jtitle><addtitle>Acta Gastroenterol Latinoam</addtitle><date>2010-03</date><risdate>2010</risdate><volume>40</volume><issue>1</issue><spage>40</spage><epage>45</epage><pages>40-45</pages><issn>0300-9033</issn><abstract>To evaluate the clinical, epidemiological and endoscopic characteristics of the Helicobacter pylori (Hp) negative peptic ulcer disease.
In this cross sectional study we included 651 patients diagnosed of peptic ulcer disease between January 2000 and December 2005. The diagnosis of Hp infection was established by histology. Clinical and epidemiological characteristics of patients with and without Hp infection were compared.
Males prevailed (69%). Hp negative ulcers were older (57.73 +/- 19.44 years old vs 50.26 +/- 18, 64 years old, P < 0.001). Clinical characteristics did not differ among both groups. Duodenal ulcer prevailed in Hp positive patients (56.5%) and gastric ulcer in Hp negative patients (53.5%). Multiple ulcers and intestinal metaplasia were more frequently found in Hp negative cases [9.3% vs 4.5% (P = 0.015) and 34.5% vs 22.1% (P = 0.001), respectively]. CONCLUSION. Hp negative peptic ulcer disease is found in older patients, with a higher frequency of gastric ulcers, multiple lesions and intestinal metaplasia.</abstract><cop>Argentina</cop><pmid>20446395</pmid><tpages>6</tpages></addata></record> |
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| subjects | Aged Biopsy Cohort Studies Cross-Sectional Studies Duodenal Ulcer - epidemiology Duodenal Ulcer - microbiology Duodenal Ulcer - pathology Endoscopy, Gastrointestinal Female Helicobacter Infections - epidemiology Helicobacter Infections - pathology Helicobacter pylori - isolation & purification Humans Male Metaplasia Middle Aged Stomach Ulcer - epidemiology Stomach Ulcer - microbiology Stomach Ulcer - pathology |
| title | Characteristics of gastroduodenal ulcers in patients with negative biopsies for Helicobacter pylori |
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