Are colon neoplastic lesions associated with stomach helicobacter pylori infection?
Abstract
A number of previous studies have shown that there is a correlation between Helicobacter Pylori (H. Pylori) and colorectal neoplasia. However, other studies could not prove whether there is a relation between the H. Pylori infection and the development of neoplastic polyploidy lesions in the colon. The aim of this study was to examine whether there is an in increase in the development of neoplastic lesions in the colon depending on the H. Pylori infection. In this case controlled retrospective study, patients who underwent both endoscopy and colonoscopy at the endoscopy unit of our hospital between January 2012 and January 2013 were evaluated. At colonoscopy, patients without any pathology or whose colon mucosa pathologies were reported as “nonspecific colon mucosa” were classified as the first group (n = 85), and those with one or more than one polyps as the second group (n = 75). The groups were compared in terms of the presence and intensity of H. Pylori, and severity of inflammatory activity and intestinal metaplasia. The results of the two groups were analogous with regard to H. Pylori positivity (p>0.05). No statistical difference was observed between the two groups with respect to H. Pylori intensity and severity of inflammatory activity in the H. Pylori positive patients (p>0.05). In conclusion, no relation between the presence of H. Pylori and the formation of polyp in the colon was found.
Keywords
Full Text:
PDFReferences
Breuer-Katschinski B, Nemes K, Marr A, Rump B, Leiendecker B, Breuer N, Goebell H. Helicobacter pylori and the risk of colonic adenomas. Colorectal Adenoma Study Group. Digestion 60:210-215, 1999.
Buso AG, Rocha HL, Diogo DM, Diogo PM, Diogo-Filho A. Seroprevalence of Helicobacter pylori in patients with colon adenomas in a Brazilian university hospital. Arq Gastroenterol 46:97-101, 2009.
Oliveira AMR, Queiroz DMM, Rocha GA, Mendes EN. Seroprevalence of Helicobacter pylori infection in children of low socio-economic level in Belo Horizonte, Brazil. Am J Gastroenterol 89: 2201-2204, 1994.
Pounder RE, Ng D. The prevalence of Helicobacter pylori infection in different countries. Aliment Pharmacol Ther 9: 33-9, 1995.
Özden A, Dumlu Ş,Dönderici Ö, Çetinkaya H, Soylu K, Özkan H, Balcı. M, Sarıoğlu M, Uzunalimoğlu Ö. Helicobacter pylori infeksiyonunun ülkemizde seroepidemiyolojisi- Gastroenteroloji 4: 665-8, 1992.
Karaaslan H, Bektaş M, Soykan İ, Bozkaya H, Bahar K, Özden A. Türkiye'de gönüllü kan donörlerinde Helicobacter pylori seroprevalansı. Turk J Gastroenterol 14(Sup- pl. 1):SB03/1. 40, 2003.
Israel DA, Peek RM. Pathogenesis of Helicobacter pylori-induced gastric inflammation. Aliment Pharma Ther 15:1271-90.15, 2001.
Siddheshwar RK, Muhammad KB, Gray JC, Kelly SB. Seroprevalence of Helicobacter pylori in patients with colorectal polyps and colorectal carcinoma. Am J Gastroenterol 96:84-8, 2001.
Konturek SJ, Konturek PC, Hartwich A, Hahn EG. Helicobacter pylori infection and gastrin and cyclo-oxygenase expression in gastric and colorectal malignancies. Regul Pept 93:13-9, 2000.
Limburg PJ, Stolzenberg-Solomon RZ, Colbert LH, Perez-Perez GI, Blaser MJ, Taylor PR, et al. Helicobacter pylori seropositivity and colorecatal cancer risk: a prospective study on male smokers. Cancer Epidemiol 11:1095-9, 2002.
Moss SF, Neugut AI, Garbowski GC, Wang S, Treat MR, Forde KA. Helicobacter pylori seroprevalence and colorectal neoplasia evidence against an association. J Natl Cancer Inst 87:762-3, 1995.
Hamilton SR, Aaltonen LA, eds. World Health Or-ganization Classification of Tumors: Pathology and Gene-tics of Tumors of the Digestive System. IARC Press, 2000.
Dixon MF, Genta RM, Yardley JH, et al. Classification and grading of gastritis. The updated Sydney system. International workshop on the histopathology of gastritis, Houston 1994. Am J Surg Pathol 20:1161-81, 1996.
Taborda AG and Prolla JG. Alimentary factors in the development of gastric intestinal metaplasia in functional dyspeptic patients. Arq. Gastroenterol. [online]. vol. 49, No. 3, pp. 208-213, 2012.
Jones M, Helliwell P, Pritchard C, Tharakan J, Mathew J: Helicobacter pylori in colorectal neoplasm: is there an aetiological relationship? World J Surg Oncol 5:51, 2007
Fujimori S, Kishida T, Kabayashi T, Sekita Y. Helicobacter pylori infection increases the risk of colorecal adenoma and adenocarcinoma especially in women. J Gastroenterol 40:887-93, 2005.
-Lin YL, Chiang JK, Lin SM, et al. Helicobacter pylori infection concomitant with metabolic syndrome further increase risk of colorectal adenomas. World J Gastroenterol 16:3841-6, 2010.
Refbacks
- There are currently no refbacks.