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Relationship between Helicobacter pylori infection and different pathological types of chronic atrophic gastritis and
Yuexia Zhang1, Yanping Feng1, Conglei You1
1Department of Health Management Center, Beijing Jishuitan Hospital, Capital Medical University, Beijing 100096, China.
Insights
Helicobacter pylori infection is linked to chronic atrophic gastritis (CAG). Combining Hp testing with serum gastric function tests aids in assessing atrophy severity and type.
Area of Science:
- Gastroenterology
- Pathology
- Clinical Diagnostics
Background:
- Chronic atrophic gastritis (CAG) is a precancerous condition.
- Helicobacter pylori (Hp) infection is a major risk factor for CAG.
- Understanding the relationship between Hp infection, gastric function, and CAG subtypes is crucial for diagnosis and management.
Purpose of the Study:
- To compare Helicobacter pylori infection rates and serum gastric function in different pathological types of chronic atrophic gastritis (CAG).
- To evaluate the combined diagnostic value of Hp status and serum gastric function tests for assessing CAG extent and severity.
Main Methods:
- Retrospective analysis of 60 CAG patients and 46 chronic non-atrophic gastritis (CNAG) patients.
- Comparison of endoscopic findings, histopathology, Hp status, and serum gastric function indices (pepsinogen I, pepsinogen II, gastrin-17).
Main Results:
- CAG patients exhibited higher Hp positivity and gastrin-17 levels, with lower pepsinogen I and II levels compared to CNAG patients.
- Within CAG, open-type and intestinal metaplasia subtypes showed significantly higher Hp rates and gastrin-17, alongside lower pepsinogen levels than closed-type and glandular reduction subtypes, respectively.
- Significant differences (p < 0.01) were observed in Hp rates and serum gastric function across different pathological and microscopic CAG types.
Conclusions:
- Helicobacter pylori infection is strongly associated with chronic atrophic gastritis.
- Distinct Hp infection rates and serum gastric function profiles exist across various pathological and microscopic CAG types.
- Combined assessment of serum gastric function and Hp status effectively aids in evaluating the extent and severity of gastric atrophy.
Objective:
This study aimed to compare the Helicobacter pylori (Hp) infection rate and serum gastric function among patients with chronic atrophic gastritis (CAG) of different pathological types and to determine the value of combining these tests in assessing the extent and severity of CAG atrophy.
Methodology:
We retrospectively analyzed 60 patients with CAG and 46 patients with chronic non-atrophic gastritis (CNAG) who underwent gastroscopy between July 2023 and June 2024. Endoscopic findings, histopathology, Hp status and serum gastric function indices were compared.
Results:
Compared with the CNAG group, the CAG group showed a significantly higher Hp positivity rate, lower serum group I pepsinogen (PG I) and group II pepsinogen (PG II) levels and higher gastrin 17 (G-17) levels (p < 0.01). In patients with CAG, open-type cases had a significantly higher Hp positivity rate (p < 0.05), lower PG I and PG II levels and higher G-17 levels (p < 0.01) than closed-type cases. The positive Hp rate was significantly higher in the atrophic gastritis with intestinal metaplasia group than in the glandular reduction atrophic gastritis group (p < 0.05), with the contents of PG I and PG II significantly lower in the former than in the latter and the content of G-17 significantly higher in the former than in the latter (p < 0.01).
Conclusions:
Helicobacter pylori infection is strongly associated with CAG, with marked differences in Hp rates and serum gastric function across pathological and microscopic types. Combined serum gastric function and Hp testing can help assess the extent and severity of atrophy.
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