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[Colonic microenvironment in familial helicobacter infection]

P L Shcherbakov, A A Vorob'ev, Iu V Nesvizhskiĭ

    Vestnik Rossiiskoi Akademii Meditsinskikh Nauk
    |July 15, 1998
    PubMed
    Summary

    Familial proximity significantly influences Helicobacter pylori infection and gastritis, with the family environment contributing up to 90% to H. pylori infection. Comprehensive family treatment and colonic microbiocenosis monitoring are crucial for managing this infection.

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    Area of Science:

    • Gastroenterology
    • Microbiology
    • Public Health

    Background:

    • Helicobacter pylori (H. pylori) infection is a significant cause of gastroduodenitis and duodenal ulcers.
    • The role of the familial microenvironment in H. pylori transmission and associated gastritis requires further elucidation.

    Purpose of the Study:

    • To investigate the impact of the familial microenvironment on the development of H. pylori infection and gastritis.
    • To assess changes in colonic microbiocenosis in patients with H. pylori-associated gastroenterological disorders.

    Main Methods:

    • Clinical and instrumental investigation of 13 families with H. pylori-related digestive diseases.
    • Assessment of Helicobacter infection and gastritis prevalence within family members.
    • Bacteriological studies to analyze colonic microbiocenosis composition.

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    Main Results:

    • The familial factor significantly contributes to antral gastritis (60.0%), fundal gastritis (40.0%), and H. pylori infection (approx. 90.0%).
    • Concurrent residence and shared lifestyle were key determinants of infection and gastritis within families.
    • H. pylori-associated gastroenterological abnormalities correlated with symptomatic (47.5%) and severe (32.5%) changes in colonic microbiocenosis.

    Conclusions:

    • The family environment and shared lifestyle are critical factors in the transmission and development of H. pylori infection and gastritis.
    • Comprehensive treatment of all family members, including pets, is recommended for anti-helicobacter therapy.
    • Monitoring colonic microbiocenosis is essential during Helicobacter infection treatment.