Abstract
The objective of the study was to evaluate the prevalence ofHelicobacter pylori in patients with different degrees of renal function. Two hundred and twenty consecutive patients requiring gastroscopy for upper intestinal symptoms were enrolled in the study: group I (normal renal function,n=127), group II (chronic renal failure, creatinine clearance >5<90 ml/min,n=59), and group III (hemodialysis therapy,n=34). On endoscopy, biopsy specimens were taken for analysis ofH. pylori infection by urease test and histology. The prevalence ofH. pylori in patients with renal dysfunction proved to be significantly lower than that in patients with normal renal function (22.6% vs 37%,P<0.05). The incidence of ulcer disease in patients with normal renal function was higher than that in uremic patients (14.2% vs 10.8%, not significant). These findings indicate that uremic patients seem to be partly protected againstH. pylori infection.
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References
Milito G, Taccone-Gallucci M, Brancaleone C. The gastrointestinal tract in uremic patients on long-term hemodialysis. Kidney Int 1985;17:S157-S160.
Ala-Kaila K. Upper gastrointestinal findings in chronic renal failure. Scand J Gastroenterol 1986;22:372–376.
Graham DY, Lew GM, Klein PD, et al. Effect of treatment ofHelicobacter pylori infection on the long-term recurrence of gastric or duodenal ulcer. Ann Intern Med 1992;116:705–708.
Ala-Kaila K, Vaajalahti P, Karvonen AL, Kokki M. GastricHelicobacter and upper gastrointestinal symptoms in chronic renal failure. Ann Med 1991;23:403–406.
Offerhaus GJ, Kreuning J, Valentijn RM, et al.Campylobacter pylori: Prevalence and significance in patients with chronic renal failure. Clin Nephrol 1989;32:239–241.
Conz P, Feriani M, Milan M, et al.Campylobacter pylori infection in uremic dialyzed patients. Nephron 1990;55:442–443.
Davenport A, Shallcross TM, Crabtree JE, et al. Prevalence ofHelicobacter pylori in patients with end-stage renal failure and renal transplant recipients. Nephron 1991;59:597–601.
Shousha S, Arnaout AH, Abbas SH, Parkins RA. AntralHelicobacter pylori in patients with chronic renal failure. J Clin Pathol 1990;43:397–399.
Tielemans C, Verhas M, Glupczynski Y, Nyst JF, Deltenre M, Dratwa M. Urea-C14 breath test screening forCampylobacter pylori infection in uraemic patients. In: Megraud F, Lamouliatte E (eds) Workshop on gastroduodenal pathology andCampylobacter pylori. Abstract book WB Saunders: Philadelphia-London-Toronto, 1988;160–172.
Derveniotis V, Koliouskas D, Kalekou H.Campylobacter pylori in severely uremic, hemodialyzed and sucessfully transplanted patients. Abstracts. XIth International congress of nephrology, Tokyo 1990;138A.
Labenz J, Gyenes E, Rühl GH, et al. Diagnosis ofHelicobacter pylori colonization of gastric mucosa. A prospective comparative study of direct tests and validity of a new urease test. Med Klin 1991;86:461–464.
Morris A, McIntyre D, Rose T, Nicholson G. Rapid diagnosis ofCampylobacter pyloridis infection. Lancet 1986;I:149.
Bayerdörffer E, Mannes GA, Sommer A, et al. High dose omeprazole treatment combined with amoxicillin eradicatesHelicobacter pylori. Eur J Gastroenterol Hepatol 1992;4:697–702.
Lieber CS, Lefèvre A. Ammonia as a source of gastric hypoacidity in patients with uremia. J Clin Invest 1959;34:1271–1277.
Kaess H, Urea in gastric juice. Klin Wochenschr 1970;48:1245–1246.
Kim H, Park C, Jang WI. The gastric juice urea and ammonia levels in patients withCampylobacter pylori. Am J Clin Pathol 1990;94:187–191.
Hazell SL, Lee A.Campylobacter pyloridis, urease, hydrogen ion back diffusion, and gastric ulcers. Lancet 1986;11:15–17.
Gladziwa U, Haase G, Handt S, et al Prevalence ofHelicobacter pylori in patients with chronic renal failure. Nephrol Dial Transplant 1993;8:301–106.
Wee A, Kang JY, Ho MS, et al. Gastroduodenal mucosa in uraemia: Endoscopic and histological correlation and prevalence ofHelicobacter-like organisms. Gut 1990;31:1093–1096.
Marshall BJ, Barret LJ, Prakash C, et al. Urea protectsHelicobacter (Campylobacter) pylori from the bactericidal effect of acid. Gastroenterology 1990;99:697–702.
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Dedicated to Prof. Dr. Carl-Heinz Hammar on the occasion of his 65th birthday
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Jaspersen, D., Fassbinder, W., Heinkele, P. et al. Significantly lower prevalence ofHelicobacter pylori in uremic patients than in patients with normal renal function. J Gastroenterol 30, 585–588 (1995). https://doi.org/10.1007/BF02367783
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DOI: https://doi.org/10.1007/BF02367783