Helikobakter Pylori Enfeksiyonu B12 Eksikliğinin Gerçekten Bir Nedeni midir?

Amaç: Bu çalışmanın amacı vitamin B12 eksikliğindeki H. pylori enfeksiyonu oranını ve h.pylori enfeksiyonunun gerçekten vitamin B12 eksikliğinin asıl sebebi olup olmadığınıbelirlemektir.Materyal ve Metod: 40 vitamin B12 eksikliği olan hastayı ve 25 sağlıklı kişiyi değerlendirdik.Bu hastaların B12 eksikliği sebebi bilinmiyordu. H. pylori için endoskopik değerlendirme vepatolojik inceleme uyguladık. Vitamin B12 eksikliği olan grupta %50 atrofik gastrit belirledik,fakat kontrol grubunda endoskopik olarak hiçbir atrofik gastrit gözlemlemedik.Bulgular: Patolojik incelemelere göre hasta grubunda 40 hastadan 11’inde (%27,5), kontrolgrubunda ise 25 hastadan 16’sında (%64) H. pylori pozitifliği vardı (p

Is Helicobacter Pylori Infection One of the Actual Causes of Vitamin B12 Deficiency?

Aim: Aim of this study is to determine Helicobacter pylori infection rate in Vitamin B12deficiency and determine whether H.pylori infection is really actual cause of Vitamin B12deficiency.Material and Methods: We evaluated 40 vitamin B12 deficient patients and 25 healthy subjects.Those patients did not have known cause of vitamin B12 deficiency. We performed endoscopicevaluation and pathological examination for H.pylori. We determined 50% atrophic gastritis invitamin B12 deficient group, but we did not observe any atrophic gastritis in the control groupendoscopically.Results: There were H.pylori positivity in 11/40 (27.5%) in the patients group but 16/25 (64)in the control group in pathological examination (p

___

Hines JD. Megaloblastic anemia. In Mazza JJ, ED. Manual of Cinical Hematology. 2nd ed Boston, Mass: Little Brown & Co; 38-53, 1995.

Baik HW, Russell RM. Vitamin B12 deficiency in the elderly. Annual Review of Nutrition. 19:357-77, 1999.

Beck WS. Diagnosis of megaloblastic anemia. Annual review of medicine. 42:311-22, 1991.

Kaptan K, Beyan C, Ural AU, et al. Helicobacter Pylori- Is it a novel causative agent in Vitamin B12 deficiency?. Archives of İnternal Medicine. 160;1349-53, 2000.

Graham DY, Malaty HM, Evans DS, Klein PD, Adam E. Epidemiology of Helicobacter pylori in asymptomatic population in US. Gastroenterology. 100:1495-501, 1991.

Cave DR. Transmission and epidemiology of helicobacter pylori. The American Journal of Medicine. 100:12-18, 1996.

Warren JR, Marshall BJ. Unidentified curved bacilli on gastric epithelium in active chronic gastritis. Lancet. 1273-75, 1983.

Karnes WE Jr., Samloff IM., Siurala M. et al. Positive serum antibody and negative tissue staining for helicobacter pylori in subjects with atrophic body gastritis. Gastroentrology. 101:167-74, 1991.

De luca VA Jr. Helicobacter pylori gastric atropy and pernicious anemia. Gastroenterology. 102:744-45, 1992.

Topal D., Göral V., Yılmaz F. The relation of helicobacter pylori with intestinal metaplasia, gastric atrophy and bcl-2. Turkiye Klinikleri Journal of Gastroenterohepatology. 15:65- 73, 2004.

Gonzalez JD., Sancho FJ., Sainz S., Such J, Fernández M, Monés Xiol J. Campylobacter Pylori and pernicious anemia. Lancet. 1:57, 1988.

Fong T-L, Dooley CP, Dehesa M, et al. Helicobacter infection in pernicious anemia: A prospective controlled study. Gastroenterology. 100:328-32, 1991.

Sari R, Ozen S, Aydogdu İ, Yildirim B, Sevinc A. The pathological examinations of gastric mucosa in patients with H.pylori-positive and–Negative pernicios anemima. Helicobacter. 5:215-21, 2000.

Graham DY, Malaty HM, Evans DS, Klein PD, Adam E. Epidemiology of Helicobacter pylori in asymptomatic population in US. Gastroenterology. 100:1495-501, 1991.

Megroud F. Epidemiology of H.pylori. Gastroenterology. 22:73-86, 1993.

Us D., Hascelik G. Seroprevelance of H.pylori infection in an asymptomatic Turkısh population. The Journal of Infection. 37:148-50, 1998.

Haruma K, Komoto K, Kawaguchi H, Okamoto S, Yoshihara M, Sumii K, Kajiyama G. Pernicious anemia and H.pylori infection in Japan: Evaluation in a country with a high prevalance infection. The American Journal of Gastroenterology. 90:1107-10, 1995.

O’Connor HJ., Axon ATR., Dixon MF. Compylobacter like organisms unusual in PA. Lancet. 2:1091, 1984.

Hershko C, Ronson A, Souroujon M, Mascler I, Heyd J, Patz J. Variable hematological presentation of autoimmune gastritis:Age related progression from iron deficiency to cobalamin depletion. Blood. 107:1673-79, 2006.

Wyatt JI., Dixon MF, Chronic gastritis--a pathogenic approach. The Journal of Pathology. 154:113-24, 1988.

Desai HG, Gupte PA. Helicobacter pylori link to pernicious anemia. The Journal of the Association Physicians India. 55:857-59, 2007.

Hedenbro JL, Benoni C, Schalén C, et al. Helicobacter Pylori and atrophic gastritis. The Tokai Journal of Experimental and Clinical Medicine. 17:1-4, 1992.

Lahner E, Annibale B. Pernicious anemia: new insights from a gastroenterological point of wiev. World Journal of Gastroenterology. 15:5121-8, 2009.

Carriani G., Bonora G., Vandelli A., Mazzoleni G., Fontana G. Helicobacter pylori in autoimmune gastritis. Gastroenterology. 101:1759, 1991.

Appelmelk BJ, Simoons-Smit I, Negrini R, et al. Potential role of molecular mimicry between Helicobacter pylori lipopolysaccharide and host lewis blood group antigens in autoimmunity. Infection of Immunity. 64:2031-40, 1996.

Appelmelk BJ, Faller G, Claeys D, Kirchner T, Vanderbroucke–Grauls CM. Bugs on trial: The case of Helicobacter pylori and autoimmunity. Imminology Today. 19:296-9, 1998.

D’Elios MM, Amedei A, Azzuri A, et al. Molecular specificity and fuctional properties of auto-reactivity T cell response in human gastric autoimmunity. International Reviews of Immunology. 24:111-22, 2005.

Claeys D, Faller G, Appelmelk BJ, Kirchner T. The gastric H+,K+-ATPase is a major autoantigen in chronic Helicobacter pylori gastritis with body mucosa atrophy. Gastroenterology. 15:340-7, 1981.

Carmel R, Perez-perez GI, Blaser MJ. Helicobacter pylori infection and food cobalamin malabsorption. Digestive Diseases and Sciences. 1994;39:309-14, 1994.

Perez-perez GI. Role of H.pylori infection in development of pernicious anemia. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. 25:1020-22, 1997.

Marino MC, de Oliveria CA, Rocha AM, et al. Long Term effect of helicobacter pylori eradication on plasma homocystein in elderly patients with cobalamin deficiency. Gut. 56:469-74, 2006.

Lechner K, Födinger M, Grisold W, Püspök A, Sillaber C. Vitamin B12 deficiency. New data on an old theme. Wiener Klinische Wochenshrift. 117:579-91, 2005.

Serin E, Gümürdülü Y, Ozer B, Kayaselçuk F, Yilmaz U, Koçak R. Impact of Helicobacter pylorion the development of vitamin B12 deficiency in the absence of gastric atrophy. Helicobacter. 7:337-41, 2002.

Düzce Tıp Fakültesi Dergisi-Cover
  • Yayın Aralığı: 3
  • Başlangıç: 1999
  • Yayıncı: Düzce Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

Akciğer Kanserinin Atipik Seyirli Multiple Beyin Metastazı

Burak ERDEMCİ, Hızır ULVİ, Recep AYGÜL, Recep DEMİR

Gram Negatif Bakterilerde Beta-Laktamaz Varlığının ve Antibiyotik Duyarlılıklarının Araştırılması

C Elif ÖZTÜRK, Handan ANKARALI, Emel ÇALIŞKAN

Çocuk Yoğun Bakım Ünitesine Yatan Hastaların Değerlendirilmesi

Murat TUTANÇ, Fatmagül BAŞARSLAN, Murat KARCIOĞLU, Servet YEL, Metin KAPLAN, Seçil ARICA, Ali KARAKUŞ, Kenan HASPOLAT, Mehmet BOŞNAK, Vefik ARICA

Kemik Yerine Geçen Biyomateryaller 2. Kısım: Hayvansal ve Sentetik Greftler

Erkam KÖMÜRCÜ, Mustafa Erkan İNANMAZ, Cengiz IŞIK, Burak AKAN, Kamil Çağrı KÖSE

Laparoskopik Kolesistektomi Sonrası Trokar Giriş Yeri Hernileri

Akın ÖNDER, Metehan GÜMÜŞ, Abdullah BÖYÜK, Sadullah GİRGİN, Murat KAPAN

Akut Polinöropati ile Tanısı Konan Churg-Strauss Sendromu

Serdar ORUÇ, Murat SEZER, Mehmet YAMAN, Hayri DEMİRBAŞ

Helikobakter Pylori Enfeksiyonu B12 Eksikliğinin Gerçekten Bir Nedeni midir?

Yasemin Ateş TÜTÜNCÜ, Funda CERAN, Seyfettin KÖKLÜ, Mehmet YILDIZ, Gökhan CELBEK, Yusuf AYDIN

İopromide Bağlı Akut Generalize Ekzantematöz Püstülozis

Hulya ALBAYRAK, Serdar Cenk GUVENC, Mehmet Emin YANIK, Hayati KANDIS, Zehra GURLEVIK

Erken Bebeklik Döneminde Anne Sütü ve Formül Mama ile Beslenen Bebeklerin Ghrelin ve Leptin Düzeylerinin Büyüme Üzerine Etkisi

Zehra KARATAŞ, Sultan Durmuş AYDOĞDU, Banu AYDIN, Ahmet KARATAŞ

Spontan Pnömotoraksla Prezente Olan İki Tüberküloz Olgusu

Suat GEZER, Talha DUMLU, Kezban ÖZMEN, Bekir Sami KARAPOLAT, Ali Nihat ANNAKKAYA, Ümran TORU