Bilger ÇAVUŞ, Aslı ÇİFCİBAŞI ÖRMECİ, Sami EVİRGEN, Raim İLİAZ, Alp ATASOY, Gülçin YEĞEN, Kadir DEMİR, Selman Fatih BEŞIŞIK, Sabahattin KAYMAKOGLU, Filiz AKYÜZ

PORTAL HİPERTANSİYONU OLAN HASTALARDA HELİCOBACTER PYLORİ SIKLIĞININ VE MİDE ANTRUM PATOLOJİ BULGULARININ DEĞERLENDİRİLMESİ

Amaç: Çalışmamızda portal hipertansif gastropatisi (PHG) olan hastalarda Helicobacter pylori sıklığını ve antrum patolojilerinin özelliklerini değerlendirmeyi amaçladık. Gereç ve Yöntem: Portal hipertansiyonu olan 203 hastanın endoskopi ünitemizde yapılmış olan gastroskopilerinde portal hipertansif gastropati saptanan hastaların antrum patolojileri ve Giemsa boyası ile değerlendirilen H. Pylori varlığı retrospektif olarak araştırılmıştır. Bulgular: Çalışmaya, portal hipertansif gastropatisi olan, 119’u erkek, 84’ü kadın, toplam 203 hasta dahil edilmiştir. Portal hipertansif gastropatisi olan hastalarda, H. Pylori pozitiflik oranı %15,3 olarak saptandı. Bu oran 65 yaş altında %18,5, 65 yaş üzerinde ise %8,8 olarak saptanmıştır. Cinsiyet bazında, H. Pylori pozitiflik oranları erkek hastalarda %21,8, kadın hastalarda %6 olarak tespit edildi. Hastalarda en sık görülen antrum patolojileri sıklık sırasına göre: %41,4 oranı ile reaktif gastropati, %23,6 aktif gastrit ve %22,2’lik oran ile ödem olarak saptandı. İntestinal metaplazi oranı ise %9,9 olarak saptandı. Sonuç: Çalışmamıza dahil ettiğimiz PHG’i olan hastalarda, H. Pylori pozitiflik oranı %15,3 olarak saptandı. Bu oranın ülkemiz genelindeki H. Pylori pozitiflik oranının altında olduğu görülmüştür. Hastalarda en sık görülen antrum patolojisi %41,4 oranı ile reaktif gastropati iken, intestinal metaplazi oranı %9,9 olarak saptandı.

Anahtar Kelimeler:

Portal Hipertansif Gastropati (PHG), H. Pylori, gastroskopi, prevelans

EVALUATION OF HELICOBACTER PYLORI FREQUENCY AND GASTRIC ANTRUM PATHOLOGY FINDINGS IN PATIENTS WITH PORTAL HYPERTENSION

Objective: In our study, we aimed to evaluate the prevalence of Helicobacter pylori (H. Pylori) and the characteristics of antrum pathologies in patients with portal hypertensive gastropathy. Materials and Methods: Antrum pathologies and the presence of H. Pylori evaluated with Giemsa stain in gastroscopies of 203 patients with portal hypertensive gastropathy. Results: A total of 203 patients, 119 male, 84 female, with portal hypertensive gastropathy was included in our study. In patients with portal hypertension, the rate of H. Pylori positivity was 15.3%. This rate was determined as 18.5% under 65 years old and 8.8% over 65 years old. On the basis of gender, H. Pylori positivity rates were 21.8% in male patients and 6% in female patients. The most common antrum pathologies in the patients, in order of frequency, were reactive gastropathy with a rate of 41.4%, active gastritis with a rate of 23.6%, and edema with a rate of 22.2%. The rate of intestinal metaplasia was found to be 9.9%. Conclusion: In the patients with portal hypertension included in our study, the H. Pylori positivity rate was found to be 15.3%. This rate was found to be below the H. Pylori positivity rate in our country. The most common antrum pathology in the patients was reactive gastropathy with a rate of 41.4%, while the rate of intestinal metaplasia was found to be 9.9%.

Keywords:

Portal hypertensive gastropathy, H. pylori, gastroscopy, prevelance,

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