Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2001-4-24
pubmed:abstractText
The aim of the present prospective investigation was to study 49 dyspeptic Helicobacter pylori (HP)-positive (HP+) or -negative (HP), CagA+ and CagA- patients with a normal pattern or pure chronic gastritis at initial histology as well as normal features or hyperemic gastropathy at initial endoscopy in a two-year follow up. All the HP+ patients were treated with omeprazole 20 mg twice a day plus amoxicillin 1 g twice a day for two weeks. No substantial change was seen in gastritis in CagA+ patients in whom the infection was not eradicated, and, in contrast, a progressive improvement in 13/14 successfully treated patients was found. At endoscopy, a progressive change to a normal picture was seen in 8 and no change in 6 of 14 patients whose HP infection was eradicated, in contrast a worsening in the 9 HP+ patients who were still infected was observed. In particular, peptic lesions arose in 6 of 21 CagA+ patients in whom the infection was not eradicated. In conclusions, the lack of change in chronic gastritis at histology and the progressive worsening of endoscopic hyperemic gastropathy (with peptic lesions arising in 28,6%) when HP+ CagA+ infection is not eradicated, unlike the progressive improvement of the anatomoclinical condition in the patients whose infection was eradicated, draws attention to the relevance of eradicating HP in CagA+ patients even when no peptic lesion is found at initial endoscopy.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0163-2116
pubmed:author
pubmed:issnType
Print
pubmed:volume
46
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
581-6
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:11318536-Adult, pubmed-meshheading:11318536-Aged, pubmed-meshheading:11318536-Amoxicillin, pubmed-meshheading:11318536-Anti-Ulcer Agents, pubmed-meshheading:11318536-Antigens, Bacterial, pubmed-meshheading:11318536-Bacterial Proteins, pubmed-meshheading:11318536-Chronic Disease, pubmed-meshheading:11318536-Esophagitis, Peptic, pubmed-meshheading:11318536-Female, pubmed-meshheading:11318536-Follow-Up Studies, pubmed-meshheading:11318536-Gastritis, pubmed-meshheading:11318536-Helicobacter Infections, pubmed-meshheading:11318536-Helicobacter pylori, pubmed-meshheading:11318536-Humans, pubmed-meshheading:11318536-Male, pubmed-meshheading:11318536-Middle Aged, pubmed-meshheading:11318536-Omeprazole, pubmed-meshheading:11318536-Penicillins, pubmed-meshheading:11318536-Prospective Studies, pubmed-meshheading:11318536-Treatment Outcome
pubmed:year
2001
pubmed:articleTitle
Peptic ulcer occurrence in follow-up of chronic gastritis in patients with treated and not eradicated CagA-positive Helicobacter pylori infection.
pubmed:affiliation
Microbiology Institute, Second University of Naples, Italy.
pubmed:publicationType
Journal Article