Assessment of gastroesophageal reflux disease by serodiagnosis of Helicobacter pylori-related chroni

• 作 者: Shotaro Enomoto Masashi Oka Hiroshi Ohata Chizu Mukoubayashi Mika Watanabe Kosaku Moribata Yosuke Muraki Naoki Shingaki Hisanobu Deguchi Kazuki Ueda Izumi Inoue Takao Maekita Mikitaka Iguchi Kimihiko
• 机 构: Second Department of Internal Medicine,Wakayama Medical University,Wakayama641-0012,Japan,Wakayama W
• 出 处: World Journal of Gastrointestinal Endoscopy
• 发表日期: 2011年04期
• 关键词: gastritis esophagitis gastro prevalence erosive classified atrophic endoscopy qu

AIM:To evaluate the association of Helicobacter pylori(H.pylori)-related chronic gastritis stage with upper gastro-intestinal symptoms and gastro-eso-phageal reflux disease(GERD).METHODS:Subjects underwent upper gastrointestinal endoscopy,a questionnaire using a frequency scale for symptoms of GERD(FSSG),and measurements of serum H.pylori-antibody and pepsinogen(PG)levels.They were classified into the following 4 groups in terms of H.pylori-related chronic gastritis stage:Group A(n = 219),H.pylori(-)PG(-);Group B(n = 310),H.pylori(+)PG(-);Group C(n = 279),H.pylori(+)PG(+);and Group D(n = 17),H.pylori(-)PG(+).RESULTS:Reflux esophagitis occurred in 30.6% of Group A,14.5% of Group B,6.8% of Group C,and 0% of Group D(P < 0.001).Scores for acid reflux sympto-ms decreased significantly with chro-nic gastritis stage(from Group A to D)(P < 0.05),while scores for dysmotility symptoms did no-t differ significantly.The prevalence of nonerosive reflux disease(NERD)did not differ amo-ng groups.However,in subjects with GERD,the prevalence of NERD tended to increase with chronic gastritis stage(P = 0.081).CONCLUSION:Acid reflux sympto-ms and the prevalen-ce of reflux esophagitis can be assessed by measuring both serum H.pylori-antibody and PG levels.

AIM: To evaluate the association of Helicobacter pylori (H. pylori) -related chronic gastritis stage with upper gastro-intestinal symptoms and gastro-eso-phageal reflux disease (GERD). METHODS: Subjects underwent upper gastrointestinal endoscopy, a questionnaire using a frequency scale for symptoms of GERD (FSSG), and measurements of serum H. pylori-antibody and pepsinogen (PG) levels. They were classified into the following 4 groups in terms of H. pylori-related chronic gastritis stage: Group A (n = 219), H. pylori (-) PG (-); Group B (n = 310), H. pylori (+) PG ); Group D (n = 17), H.pylori (-) PG (+). RESULTS: Reflux esophagitis occurred in 30.6% of Group A, 14.5% of Group B, 6.8% of Group C, and 0% of Group D (P <0.001). Scores for acid reflux sympto-ms decreased significantly with chro-nic gastritis stage (from Group A to D) (P <0.05), while scores for dysmotility symptoms did no- of nonerosive reflux disease (NERD) did not differ amo-ng groups.Howe ver, in subjects with GERD, the prevalence of NERD tended to increase with chronic gastritis stage (P = 0.081) .CONCLUSION: Acid reflux sympto-ms and the prevalence of reflux esophagitis can be assessed by measuring both serum H. pylori- antibody and PG levels.