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.
Abstract

Related Concept Videos

Gastroesophageal Reflux Disease01:25

Gastroesophageal Reflux Disease

Gastroesophageal reflux disease (GERD) is the backward flow of stomach contents (acid, pepsin, or bile) into the esophagus, causing mucosal inflammation known as esophagitis. It results from failure of antireflux mechanisms, mainly the lower esophageal sphincter (LES), influenced by mechanical and physiological factors.Etiology and Risk FactorsGERD develops when LES function is weakened or when intra-abdominal pressure increases. Risk factors include aging, obesity, and sliding hiatal hernia,...
Peptic Ulcer01:27

Peptic Ulcer

Peptic ulcers are erosive lesions of the gastric or duodenal lining, most commonly caused by Helicobacter pylori infection. This Gram-negative, helical bacterium has adapted to survive the stomach’s acidic environment by producing urease, which converts urea into ammonia and carbon dioxide. The ammonia neutralizes gastric acid in the bacterium’s immediate environment, allowing colonization of the gastric mucosa. H. pylori attaches to mucus-secreting epithelial cells, penetrates the mucus...
Gastroesophageal Reflux Disease I: Meaning and Pathophysiology01:29

Gastroesophageal Reflux Disease I: Meaning and Pathophysiology

Gastroesophageal Reflux Disease (GERD) involves the recurrent backflow of the stomach or duodenal contents into the esophagus, leading to troublesome symptoms and potential esophageal mucosal damage. Although GERD is often referred to as a disease, it is more accurately described as a syndrome, as it encompasses a range of symptoms and complications rather than a singular pathological entity, impacting a large number of individuals as the most prevalent upper gastrointestinal problem. Roughly...
Peptic Ulcer Disease I: Introduction01:30

Peptic Ulcer Disease I: Introduction

Peptic Ulcer Disease (PUD) is characterized by mucosal excavation in the esophagus, stomach, pylorus, or duodenum. It can manifest as acute or chronic based on the extent and duration of mucosal involvement.
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
Peptic Ulcer Disease I: Introduction01:25

Peptic Ulcer Disease I: Introduction

Peptic ulcer disease (PUD) involves breaks in the gastrointestinal tract's mucosal lining, primarily in the stomach and duodenum, with less frequent occurrences in the lower esophagus or near the pylorus.Ulcers can be acute or chronic. Acute ulcers are short-lived with minimal inflammation and heal quickly after the irritant is removed. Chronic ulcers persist, may recur, and often cause scarring due to ongoing tissue damage. Superficial erosions affect only the mucosal layer and are called...
Pathophysiology of Peptic Ulcer Disease: Injurious Factors01:22

Pathophysiology of Peptic Ulcer Disease: Injurious Factors

Peptic ulcers are sores on the stomach's inner lining and the upper small intestine, which are the result of disruptions in the mucosal layer that houses parietal cells which produce gastric acid, and chief cells which secrete pepsinogen.
In the antrum region, G cells secrete the gastrin hormone that binds to gastrin-cholecystokinin-B (CCK2) receptors on parietal and enterochromaffin-like (ECL) cells in the fundic glands. Simultaneously, the vagus nerve releases acetylcholine, which binds to M3...