NEZIH PIŞKINPAŞA1, MEHMET EMIN PIŞKINPAŞA2
1Uskudar State Hospital, Department of Gastroenterology, İstanbul, Turkey - 2İstanbul Training and Research Hospital, Department of Internal Medicine, İstanbul, Turkey
Introductıon: Helicobacter pylori is an important factor for the development of gastritis, duodenal and gastric ulcers, mucosa- related lymphomas (MALT lymphomas) and adenocarcinomas of the stomach. Relations between Helicobacter pylori prevalence and the development of mucosa lesions getting continuous hemodialysis are not clearly understood. The aim of this study is to analyse the findings of patients getting hemodialysis, to find out the helicobacter pylori prevalence and to outline the possible relationship between endoscopy findings and the helicobacter pylori prevalence.
Materials and methods: Gastroscopy and pathology evaluations of biopsies taken from antrum and corpus of 354 patients get- ting hemodialysis who were referred because of various reasons were included in the study. Helicobacter pylori prevalence and the relationship between the presence of Helicobacter pylori accoding to age, sex groups and endoscopy findings were analysed.
Results: 354 patients were included in the study. 54 (15 %)cases among 203 male (57.3 %) and 151 female ( 41.6 % ) patients between the ages of 18 and 63 had Helicobacter pylori positive test results. According to endoscopy reports 5 cases ( 8% ) had gastric or duodenal ulcer, 55 cases (86%) had gastritis and 1 patient (1.8%) had esophagitis. 8 patients ( 13% ) had normal findings. No statistically significant difference was found between the presence of Helicobacter pylori and endoscopic findings according to age and sex groups.
Conclusion: The Helicobacter pylori prevalence in patients getting hemodialysis is significantly low compared to the general population. Endoscopy findings may be also related to other factors except the presence of Helicobacter pylori.
Helicobacter pylori, peptic ulcer, esophagitis, prevalence, hemodialysis
10.19193/0393-6384_2019_1_24