GASTRITIS IN THE RESIDUAL, STOMACHAND HELICOBACTER PYLIORI INFECTION

Abstract

Helicobacter pylori (HP)infection was assessed in the residual stomach after distalgastrectomy due to gastric cancer, in comparison with unoperated whole stomach. HP wasdetected by Urease test from the gastric mucosa specimens of anastomotic area and cardiain residual stomach and from antral mucosa and angle in unoperated stomach. HPinfection was subsequently confirmed by culture in 5kirrow media, compared according toendoscopic and histopathological findings. HP infection rates were 75%(27/36)forresidual stomach cases and 59.6%(109/171)for whole stomach cases(P=0.08). Nostatistically significant correlations were observed between HP infection and sex, postoperative years and histological findings or background disease, while higher infection rateof HP was observed in the patietnts who were operated because of early gastric cancer.HP infection rate vvas statistically higher in the residual stomach with superficial gastritis(88.8%)than that with atrophic gastritis(33%). The resu.lts suggest that HP infectionseems to have some role in developing superficial gastritis in the residual stomach.