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Helicobacter pylori in functional dyspepsia and normal controls

I Wilhelmsen1, T Tangen Haug, P Sipponen

  • 1Dept. of Psychiatry, Haukeland Hospital, Bergen, Norway.

Scandinavian Journal of Gastroenterology
|June 1, 1994
PubMed
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Helicobacter pylori status does not identify specific subsets in functional dyspepsia (FD) with erosive prepyloric changes (EPC). Age, not H. pylori, was the key factor differentiating patients in this study.

Area of Science:

  • Gastroenterology
  • Microbiology
  • Clinical Medicine

Background:

  • Investigating Helicobacter pylori (H. pylori) role in functional dyspepsia (FD) with erosive prepyloric changes (EPC).
  • Assessing if H. pylori status can define a distinct patient subgroup within FD and EPC.

Purpose of the Study:

  • To determine if H. pylori infection helps identify a specific subset of patients with FD and EPC.
  • To explore the relationship between H. pylori status, age, and psychological factors in FD patients.

Main Methods:

  • Collected anamnestic, somatic, and psychological data from 87 FD patients and 77 controls.
  • Assessed H. pylori infection using the 14C-urea breath test.
  • Analyzed 27 variables to identify discriminating factors between H. pylori-positive and -negative patients.

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Main Results:

  • H. pylori infection prevalence was similar between FD patients (34%) and controls (36%).
  • Age, not H. pylori status, was the sole significant factor differentiating H. pylori-positive and -negative patients.
  • FD patients exhibited higher psychological scores than controls, irrespective of H. pylori status.

Conclusions:

  • H. pylori infection in FD and EPC patients is likely age-related.
  • H. pylori status does not appear to aid in identifying specific patient subsets within FD and EPC.
  • Further research may be needed to identify distinct subgroups within functional dyspepsia.