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Published on: December 14, 2020
Is there a relationship between Helicobacter pylori infection and erosive reflux disease in children?
Halil Haldun Emiroglu1, Semra Sokucu, Ozlem Durmaz Suoglu
1Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Istanbul School of Medicine, Istanbul University, Istanbul, Turkey. haldunemiroglu@hotmail.com
Insights
This study found no significant link between Helicobacter pylori infection and erosive reflux disease in children. Helicobacter pylori did not affect the severity of oesophagitis in pediatric patients.
Area of Science:
- Pediatric Gastroenterology
- Infectious Diseases
- Gastroenterology
Background:
- Gastroesophageal reflux disease (GERD) is a common condition in children.
- Helicobacter pylori (H. pylori) infection is prevalent globally.
- The relationship between H. pylori and GERD, particularly erosive esophagitis, in pediatric populations requires further investigation.
Purpose of the Study:
- To investigate the association between H. pylori infection and erosive reflux disease in children.
- To determine if H. pylori infection influences the severity of esophagitis in pediatric patients.
Main Methods:
- Retrospective analysis of 206 children undergoing upper endoscopy.
- H. pylori infection status determined through testing.
- Gastroesophageal reflux disease diagnosed based on endoscopic and histopathological findings, categorizing patients into erosive and non-erosive groups.
Main Results:
- Prevalence of H. pylori infection was similar in children with and without GERD (31.3% vs. 36.7%).
- Erosive esophagitis prevalence was not significantly different between H. pylori-infected and H. pylori-negative children (23.8% vs. 41.3%).
- H. pylori infection did not correlate with the severity of esophagitis.
Conclusions:
- No significant negative association was found between H. pylori infection and erosive esophagitis in children.
- H. pylori infection does not appear to influence the severity of esophagitis in the studied pediatric cohort.
Aim:
The aim of this study was to investigate the relationship between Helicobacter pylori infection and erosive reflux disease in children.
Methods:
A total of 206 children [mean age 8.4 +/- 4.9 (0.16-18) years] who underwent diagnostic upper endoscopy were tested for H. pylori infection between 2002 and 2005 and the relationship between H. pylori infection and gastro-oesophageal reflux disease was investigated retrospectively. Endoscopic and histopathological findings were examined retrospectively. When reflux-related oesophageal damage was identified as a result of the histological examination of endoscopic biopsy samples collected from distal oesophagus, the patients were diagnosed with gastro-oesophageal reflux disease and divided into two groups: those with macroscopic erosions or ulceration constituted the erosive oesophagitis group; those without constituted the non-erosive reflux disease group.
Results:
Prevalence of H. pylori infection was 31.3% in the patients with gastro-oesophageal reflux disease and 36.7% in the control group (p > 0.05). Prevalence of erosive oesophagitis was found to be 23.8% in the patients with H. pylori infection and 41.3% in those without (p > 0.05).
Conclusion:
No negative significant association was found between the prevalence of H. pylori infection and erosive oesophagitis. Presence of H. pylori infection did not influence the severity of oesophagitis either.
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