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La gastrite type B: une gastrite bactérienne: réalité ou fantaisie ?

Type B gastritis is bacterial gastritis: fact or fancy ?

La gastritis tipo B: una gastritis bacteriana: realidad o ficcion ?

  • Published:
Acta Endoscopica

Résumé

Des données récentes ont permis de redéfinir la gastrite. Des entités nouvelles ont été décrites (gastrite lymphocytaire, gastrite par reflux) et surtout un nouveau germe, à tropisme gastrique, a été décrit :Helicobacter pylori. Ce germe répond aux postulats de Koch sans répondre entièrement encore aux postulats associés (relation chronologique, spécificité, relation dose-réponse, plausibilité).

Helicobacter pylori est done une cause, sans doute la principale, de gastrite chronique active. L’histoire naturelle de cette infection et les études thérapeutiques devraient nous aider à préciser son rôle exact dans les maladies du tractus digestif supérieur.

Summary

Recent developments have redefined gastritis with the description of newly recognised entities such as lymphocytic gastritis and reflux gastritis and especially with the discovery ofHelicobacter pylori. This microorganism fulfills Koch’s postulates but extended causality postulates (time-order, specificity, doseresponse relationship and plausibility) are not completely fulfilled.

ThusHelicobacter pylori is a cause, probably the main cause, of chronic active gastritis. The natural history of this infection and therapeutic studies should help us delineate it’s exact role in diseases of the foregut.

Resumen

Existen datos de reciente conocimiento que han permitido una redefinitión de la gastritis. Se han descrito nuevas tntidades (Gastritis linfocitaria, gastritis por reflujo) y, en especial un nuevo germen con tropismo gastrico se ha vista involucrado en la enfermedad : el Helicobacter pylori. Este germen responde a los postulados de Koch aun sin responder por completo a los postulados asociados (relatión cronológica, especificidad, relatión dosis-respuesta, plausibilidad).

El Helicobacter pylori es pues una causa, sin duda la más importante, de la gastritis crónica activa. La historia natural de ésta infectión y los estudios terapeúticos deberían ayudarnos a precisar su verdadero protagonismo en las enfermedades del tracto digestivo superior.

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    J. C. Debongnie

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Debongnie, J.C. La gastrite type B: une gastrite bactérienne: réalité ou fantaisie ?. Acta Endosc 20, 415–425 (1990). https://doi.org/10.1007/BF02977550

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