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Læknablaðið - 15.08.1989, Blaðsíða 9

Læknablaðið - 15.08.1989, Blaðsíða 9
LÆKNABLAÐIÐ 195 SUMMARY CAMPYLOBACTER-PYLORI IN GASTRIC MUCOSA A prospective study of the prevalence of C.-pylori in the gastric mucosa of patients with symptoms of gastritis or ulcer. Gastric mucosal biopsies from 37 patients, '.vho underwent gastroscopy in the gastrointestinal unit of the University Hospital in Iceland, were studied. Biopsies from three different areas of the stomach were obtained in each case. The results of bacterial culture on Skirrow’s medium and histological study with HE- and Warthin-Starry staining methods were compared. C.-pylori was found in 75.5% of the specimens and in 86.5% the two different methods gave identical results. C,- pylori was found more commonly in the stomach of these icelandic patients than expected. There was a statistically significant correlation between the histological diagnosis of active chronic gastritis or gastric ulcer and the presence of C.-pylori in the mucosa. All the patients, who were found to have gastric ulcer, and 84.8% of the patients with chronic active gastritis had C.-pylori in the mucosa. These results support the contention that C.-pylori may be a causal agent in gastritis and gastric ulcer. HEIMILDIR 1. Dooley CP, Cohen H. The Clinical Significance of Campylobacter-pylori. Review. Ann Int Med 1988; 108: 70-9. 2. Kreinitz W. Ueber das Auftreten von Spiroschaten Verschiedener Form im Mageninhalt bei Carcinoma Ventriculi. Dtsch Med Wochenschr 1906; 32: 872-90. Tilv. úr Dooley (1). 3. Rosenow EC, Sanford AH. The bacteriology of ulcer of the stomach and duodenum in man. J Infect Dis 1915; 17: 210-26. Tilv. úr Dooley (1). 4. Briem H. Magasár og magabólgur - smitsjúkdómur? Mixtúra. Blað lyfjafræðinema 1988; 2: 10-11. 5. Warren JR. Unidentified curved bacilli on gastric epithelium in active chronic gastritis. Lancet 1983; I: 1273. 6. Marshall BJ. Unidentified curved bacilli on gastric epithelium in active chronic gastritis. Lancet 1983; I: 1273-5. 7. Gnarpe H, Unge P, Blomqvist C, Makitalo S. Campylobacter-pylori in Swedish patients referred for gastroscopy. APMIS 1988; 96: 128-32. 8. Marshall BJ, Warren JR. Unidentified curved bacilli in the stomach of patients with gastritis and peptic ulceration. Lancet 1984; I: 1311-15. 9. Jóhannsson JH, Þjóðleifsson B, Steingrímsson O. Ristilbólga af völdum Campylobacter-jejuni. Læknablaðið 1986; 72: 185-90. 10. Whitehead R. Mucosal biopsy of the gastrointestinal tract. Þriðja útg. WB Saunders, Toronto 1985. 11. Raskov H, Lanng C, Gaarslev K, Fischer Hansen B, Hauch O. Screening for Campylobacter-pyloridis in patients with upper dyspepsia and the relation to inflammation of the human gastric antrum. Scand J Gastroenterol 1987; 22: 568-72. 12. Blomberg B. Jamerot G, Kjellander J, Danielsson D, Kraaz W. Prevalence of Campylobacter-pylori in an unselected Swedish population of patients referred for gastroscopy. Scand J Gastroenterol 1988; 23: 358-62. 13. Taylor DE, Hargreaves JA, Lai-King NG, Sherbaniuk RW, Jewell LD. Isolation and characterization of Campylobacter-pyloridis from gastric biopsies. Am J Clin Pathol 1987;87:49-54. 14. Oddsson E, Binder V, Thorgeirsson T et al. A prospective comparative study of clinical and pathological characteristics in Icelandic and Danish patients with gastric ulcer, duodenal ulcer and X-ray-negative dyspepsia. Scand J Gastroenterol 1978; 13: 489-95. 15. Rauws EAJ, Langenberg W, Houthoff HJ, Zanen HC, Tytgat GNJ. Campylobacter-pyloridisassociated chronic active antral gastritis. A prospective study of its prevalence and the effects of antibacterial and antiulcer treatment. Gastroenterol 1988; 94: 33-40.

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