Endoscopic Findings and the Prevalence of Helicobacter Pylori in Dyspeptic Monks at the Priest Hospital
Keywords:
dyspepsia, Helicobacter pylori, monks, peptic ulcerAbstract
A descriptive retrospective study was carried out in 312 monks presented to the Priest Hospital with upper abdominal pain and underwent upper gastrointestinal endoscopy and tissue sampling for H. pylori by the rapid urease test during March 1, 2008 and February 28, 2011. The average age was 62 + 12.7 years old (range 23-84). The result showed overall 122 infections (39.1%) with age over 50 year in 104 cases (40.9%). The endoscopic
findings were gastritis (43.3%), gastric ulcer (10.9%), gastric cancer (3.5%), gastroduodenal ulcer (1.6%), duodenal ulcer (5.8%), duodenitis (7.7%) and non-ulcer dyspepsia (27.2%). Only the findings of gastric ulcer, gastric cancer, peptic ulcer and duodenal ulcer were significantly associated with H. pylori infection (p < 0.05).
References
1. Rabeneck L, Nelda PW, Graham DY. Managing dyspepsia:
what do we know and what do we need to know?. Am J
Gastroenterol 1998;93:920-4.
2. Holtmann G, Stanghellini V, Talley N. Nomenclature of
dyspepsia, dyspepsia subgroups and functional dyspepsia:
clarifying the concepts. Baillieres Clin Gastroenterol
1998;12:417-33.
3. Talley NJ, Silverstein MD, Agreus L, Nyren O, Sonnenberg A,
Holtmann G. AGA technical review: evaluation of dyspepsia.
Gastroenterology 1998;114:582-95.
4. Ikenberry SO, Harrison ME, Lichtenstein D, Dominitz JA,
Anderson MA, Jagannath SB, et al. The role of endoscopy in
dyspepsia. Gastrointest Endosc 2007;66:1071-5.
5. Talley NJ, Vakil N. Practice Parameters Committee of the
American College of Gastroenterology. Guidelines for the
management of dyspepsia. Am J Gastroenterol 2005;
100:2324-37.
6. Grainger SL, Klass HJ, Rake MO. Prevalence of dyspepsia:
the epidemiology of overlapping symptoms. Postgrad Med
J 1994;70:154-61.
7. Tebaldi M, Heading RC. Clinical economics review:
functional (non-ulcer) dyspepsia. Aliment Pharmacol Ther
1998;12:11-9.
8. Talley NJ, Weaver AL, Zinsmeister AR. Impact of functional
dyspepsia on quality of life. Dig Dis Sci 1995;40:584-9.
9. Zagari RM, Fuccio L, Bazzoli F. Investigating dyspepsia. BMJ
2008;337:1400.
10. Dempsey DT, Stomach. In: Brunicardi FC, editor. Schwartz’s
principle of surgery. 8th ed. New York: McGraw-Hill; 2005.
11. Talley NJ, American gastroenterological association.
American gastroenterological association medical position
statement: evaluation of dyspepsia. Gastroenterology
2005;129:1753-5.
12. Talley NJ, Vakil NB, Moayyedi P. American gastroenterological
association technical review on the evaluation
of dyspepsia. Gastroenterology 2005;129:1756-80.
13. Hart R, Classen M. Complications of diagnostic gastrointestinal
endoscopy. Endoscopy 1990;22:229-33.
14. Daneshmend TK, Bell GD, Logan RF. Sedation for upper
gastrointestinal endoscopy: results of a nationwide surgery.
Gut 1991;32:12-15.
15. Research group of peptic ulcer. Guidelines for diagnosis
and treatment for Helicobacter pylori infection: Guidelines
for diagnosis and treatment for dyspeptic patients and
Helicobacter pylori infection in Thailand. 1st ed. Bangkok :
The Gastroenterological Association of Thailand; 1999.
16. Rowland M, Kumar D, Daly L, O’connor P, Vaughan D,
Drumm B. Low rates of helicobacter pylori reinfection in
children. Gastroenterology 1999;117:336-41.
17. Clark CJ, Thirlby RC, Picozzi V Jr, Schembre DB, Cummings
FP, Lin E. Current problems in surgery : gastric cancer. Curr
Probi Surg 2006;43:566-670.
18. Office of National Buddhism. Statistics the number of monks
since 2009 -2010.2011 [cited 2012 March 28 ]. Available
from: http://www.onap.go.th/Data Monk/
19. Kiatpanabhikul A , Yodavudh S. Association of gastroscopic
features with Helicobacter Pylori infection in dyspeptic
patients at Charoenkrungpracharak Hospital. J C H 2008;
4,12-19.
20. Kanchintorn U, Lueugrojanakul P, Atisook K, Theerabutra C,
Tauwandee T, Beenyapisit S. Helicobacter pylori and peptic
ulcer diseases: prevalence and association with antral
gastritis in 210 patients. J Med Assoc Thai 1992;75:386-92.
21. Choomsri P, Bumpenboon W, Wasuthit Y, Euanorasetr C,
Sumritpradit P, Suwanthunma W, Lertsithichai P. Upper
gastrointestinal endoscopy findings in patients presenting
with dyspepsia. Thai J Surg 2010;31:7-12.
22. Talley NJ. Hunt RH. What role does Helicobacter pylori play
in dyspepsia and nonulcer dyspepsia? Arguments for and
against H. pylori being associated with dyspeptic symptoms.
Gastroenterology 1997;113:S67-S77.
23. Tytgat G N J. Role of endoscopy and biopsy in the work up
of dyspepsia. Gut 2002;50:13-16.
24. The role of endoscopy in dyspepsia. Gastrointestinal
Endoscopy 2007;66:1071-5.
25. McCarthy C, Patchett S, Collins RM, Beattie S, Keane C,
O’Morain C. Long-term prospective study of Helicobacter
pylori in non-ulcer dyspepsia. Dig Dia Sci 1995;40:114-9.
26. Moayyedi P, Soo S, Deeks J, Delaney B, Harris A, Innes M, et
al. Eradication of Helicobater pylori for non-ulcer dyspepsia.
Cochranc Database Syst Rev 2006;2:CD002096.
27. Spiegel BM, Vakil NB, Ofman JJ. Dyspepsia management in
primary care: a decision analysis of competing strategies.
Gastroenterology 2002;122:1270-85.
28. Malfertheiner P, Sipponen P, Naumann M, Moayyedi P,
Megraud F, Xiao SD, et al. Helicobacter pylori eradication
has the potential to prevent gastric cancer: a state-of-art
critique. Am J Gastroenterol 2005;100:2100-15.
29. Helicobacter and cancer collaborative group. Gastric
cancer and helicobacter pylori: a combined analysis of 12
case control studies nested within prospective cohorts. Gut
2001;49:347-53.
what do we know and what do we need to know?. Am J
Gastroenterol 1998;93:920-4.
2. Holtmann G, Stanghellini V, Talley N. Nomenclature of
dyspepsia, dyspepsia subgroups and functional dyspepsia:
clarifying the concepts. Baillieres Clin Gastroenterol
1998;12:417-33.
3. Talley NJ, Silverstein MD, Agreus L, Nyren O, Sonnenberg A,
Holtmann G. AGA technical review: evaluation of dyspepsia.
Gastroenterology 1998;114:582-95.
4. Ikenberry SO, Harrison ME, Lichtenstein D, Dominitz JA,
Anderson MA, Jagannath SB, et al. The role of endoscopy in
dyspepsia. Gastrointest Endosc 2007;66:1071-5.
5. Talley NJ, Vakil N. Practice Parameters Committee of the
American College of Gastroenterology. Guidelines for the
management of dyspepsia. Am J Gastroenterol 2005;
100:2324-37.
6. Grainger SL, Klass HJ, Rake MO. Prevalence of dyspepsia:
the epidemiology of overlapping symptoms. Postgrad Med
J 1994;70:154-61.
7. Tebaldi M, Heading RC. Clinical economics review:
functional (non-ulcer) dyspepsia. Aliment Pharmacol Ther
1998;12:11-9.
8. Talley NJ, Weaver AL, Zinsmeister AR. Impact of functional
dyspepsia on quality of life. Dig Dis Sci 1995;40:584-9.
9. Zagari RM, Fuccio L, Bazzoli F. Investigating dyspepsia. BMJ
2008;337:1400.
10. Dempsey DT, Stomach. In: Brunicardi FC, editor. Schwartz’s
principle of surgery. 8th ed. New York: McGraw-Hill; 2005.
11. Talley NJ, American gastroenterological association.
American gastroenterological association medical position
statement: evaluation of dyspepsia. Gastroenterology
2005;129:1753-5.
12. Talley NJ, Vakil NB, Moayyedi P. American gastroenterological
association technical review on the evaluation
of dyspepsia. Gastroenterology 2005;129:1756-80.
13. Hart R, Classen M. Complications of diagnostic gastrointestinal
endoscopy. Endoscopy 1990;22:229-33.
14. Daneshmend TK, Bell GD, Logan RF. Sedation for upper
gastrointestinal endoscopy: results of a nationwide surgery.
Gut 1991;32:12-15.
15. Research group of peptic ulcer. Guidelines for diagnosis
and treatment for Helicobacter pylori infection: Guidelines
for diagnosis and treatment for dyspeptic patients and
Helicobacter pylori infection in Thailand. 1st ed. Bangkok :
The Gastroenterological Association of Thailand; 1999.
16. Rowland M, Kumar D, Daly L, O’connor P, Vaughan D,
Drumm B. Low rates of helicobacter pylori reinfection in
children. Gastroenterology 1999;117:336-41.
17. Clark CJ, Thirlby RC, Picozzi V Jr, Schembre DB, Cummings
FP, Lin E. Current problems in surgery : gastric cancer. Curr
Probi Surg 2006;43:566-670.
18. Office of National Buddhism. Statistics the number of monks
since 2009 -2010.2011 [cited 2012 March 28 ]. Available
from: http://www.onap.go.th/Data Monk/
19. Kiatpanabhikul A , Yodavudh S. Association of gastroscopic
features with Helicobacter Pylori infection in dyspeptic
patients at Charoenkrungpracharak Hospital. J C H 2008;
4,12-19.
20. Kanchintorn U, Lueugrojanakul P, Atisook K, Theerabutra C,
Tauwandee T, Beenyapisit S. Helicobacter pylori and peptic
ulcer diseases: prevalence and association with antral
gastritis in 210 patients. J Med Assoc Thai 1992;75:386-92.
21. Choomsri P, Bumpenboon W, Wasuthit Y, Euanorasetr C,
Sumritpradit P, Suwanthunma W, Lertsithichai P. Upper
gastrointestinal endoscopy findings in patients presenting
with dyspepsia. Thai J Surg 2010;31:7-12.
22. Talley NJ. Hunt RH. What role does Helicobacter pylori play
in dyspepsia and nonulcer dyspepsia? Arguments for and
against H. pylori being associated with dyspeptic symptoms.
Gastroenterology 1997;113:S67-S77.
23. Tytgat G N J. Role of endoscopy and biopsy in the work up
of dyspepsia. Gut 2002;50:13-16.
24. The role of endoscopy in dyspepsia. Gastrointestinal
Endoscopy 2007;66:1071-5.
25. McCarthy C, Patchett S, Collins RM, Beattie S, Keane C,
O’Morain C. Long-term prospective study of Helicobacter
pylori in non-ulcer dyspepsia. Dig Dia Sci 1995;40:114-9.
26. Moayyedi P, Soo S, Deeks J, Delaney B, Harris A, Innes M, et
al. Eradication of Helicobater pylori for non-ulcer dyspepsia.
Cochranc Database Syst Rev 2006;2:CD002096.
27. Spiegel BM, Vakil NB, Ofman JJ. Dyspepsia management in
primary care: a decision analysis of competing strategies.
Gastroenterology 2002;122:1270-85.
28. Malfertheiner P, Sipponen P, Naumann M, Moayyedi P,
Megraud F, Xiao SD, et al. Helicobacter pylori eradication
has the potential to prevent gastric cancer: a state-of-art
critique. Am J Gastroenterol 2005;100:2100-15.
29. Helicobacter and cancer collaborative group. Gastric
cancer and helicobacter pylori: a combined analysis of 12
case control studies nested within prospective cohorts. Gut
2001;49:347-53.
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Published
2012-06-29
How to Cite
1.
Kasemthamakhun S, Chaiyarerk P. Endoscopic Findings and the Prevalence of Helicobacter Pylori in Dyspeptic Monks at the Priest Hospital. Thai J Surg [Internet]. 2012 Jun. 29 [cited 2024 Nov. 22];33(2). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/226875
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