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Correlation between Helicobacter pylori infection and severity of gastritis in children
Wei Zheng1, Xiaoyu Chen1, Yaofeng Yang1
1Department of Gastroenterology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children's Regional Medical Center, Hangzhou, China.
Insights
Helicobacter pylori (H. pylori) infection in children is linked to increased gastric inflammation and active gastritis. Higher H. pylori levels correlate with more severe histopathological changes in the gastric mucosa.
Area of Science:
- Gastroenterology
- Pediatric Medicine
- Microbiology
Background:
- Helicobacter pylori (H. pylori) is a prevalent global infection linked to chronic gastritis.
- Pediatric H. pylori infections present varied endoscopic findings, especially nodular changes in endemic regions.
Purpose of the Study:
- To investigate endoscopic and histopathological alterations in the gastric mucosa of pediatric H. pylori patients.
- To explore the relationship between H. pylori colonization density and the severity of gastritis-related histological parameters.
Main Methods:
- A monocentric study involving 120 children undergoing gastroscopy for gastrointestinal distress symptoms.
- Acquisition of mucosal biopsies for histopathological analysis to identify H. pylori infection and assess inflammation, activity, and lymphoid follicles.
Main Results:
- Out of 120 children, 64 tested positive for H. pylori infection.
- H. pylori-infected children showed significantly higher inflammation, activity, and lymphoid follicles compared to uninfected children.
- A strong association was found between H. pylori infection and nodular lesions, active gastritis, and the degree of inflammation.
Conclusions:
- H. pylori infection is significantly associated with histopathological changes, including active gastritis, in pediatric patients.
- The study confirms a link between H. pylori colonization density and the severity of histological gastritis parameters.
Abstract:
Helicobacter pylori is widely recognized as the chronic infection that is most commonly observed across all age cohorts worldwide and is closely linked to chronic gastritis. In pediatric H. pylori patients, we aim to examine the endoscopic and histopathological alterations in the gastric mucosa. This was a potential monocentric investigation conducted from January 2018 to August 2018, collecting 120 children who underwent gastroscopy due to symptoms of gastrointestinal distress. Endoscopic procedures were conducted to acquire mucosal biopsies for the purpose of histopathological analysis. The investigation comprised a cohort of 120 patients, 64 of whom were identified as having H. pylori infection. The H. pylori-infected cohort had a greater level of inflammation, activity, and lymphoid follicles than the H. pylori-negative cohort. A significant link was discovered between H. pylori infection and both nodular lesions and active gastritis. There was a significant infection link observed between the degree of inflammation and the abundance level of Helicobacter in the H. pylori-infected cohort. There was a significant link between the infection of H. pylori and histopathological manifestations, including active gastritis.IMPORTANCEH. pylori is a significant concern of infection in the field of public health. In children, the endoscopic observations of H. pylori infection exhibit variation, particularly in highly endemic countries where nodular changes in the gastric mucosa are commonly observed. Nevertheless, there is ongoing debate regarding the connection between the colonization level of H. pylori in the gastric mucosa and the extent of histological parameters of gastritis. We mainly explored the link between the H. pylori colonization density in the gastric mucosa and the severity of histological parameters related to gastritis and found that there was a significant link between the infection of H. pylori and histopathological manifestations, including active gastritis.
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