Helicobacter pylori : Basic and surgical practice
Keywords:
H. pylori, surgical practiceAbstract
Since the discovery of H. pylori in early 1980s, this organism became the most popular topic for gastroenterologist discussed until now. Advances in the understanding of H. pylori infection have revealed this organism can cause chronic gastritis, peptic ulcers and recurrence of peptic ulcers. Close correlation between H. pylori infection and gastric cancer incidence was also reported, and IARC/WHO defined H. pylori infection as a definite carcinogenesis in 1994. H. pylori infection in our country is common and still regards Thailand as the endermic area. There are several data from many part of Thailand confirmed this fact since eight years ago. However, a few surgeon have become interested in this organism in according to it's role in the induction of gastroduodenal pathology.
This article had been made for reviewing the basic knowledge and clinical application especially for the surgical practice that may be useful for starting the treatment and study in this field. These included how to cure the peptic ulcer and prevent the recurrence after it's complications such as bleeding and perforation. It also pointed out the role in the induction of gastritis in the residual stomach that might relate to the recurrence of gastric cancer after cure resection and the possible of transmission of this organism during gastroscope procedure. And it's time for the surgeon to prevent the gastroduodenal disease that we was usually consulted for operation, not only to treat the disease.
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