Korean Journal of Gastrointestinal Endoscopy 2000;20(2): 91-96.
대장용종 및 대장암 환자에서 상부 위장관 병변과 Helicobacter pylori 감염 빈도 ( Upper Gastrointestinal Lesions and Helicobacter pylori Infection in Patients with Colorectal Neoplasia )
김학양(Hak Yang Kim),이준호(Joon Ho Lee),김진봉(Jin Bong Kim),이진헌(Jin Heon Lee),김용범(Yong Bum Kim),박충기(Choong Kee Park),박철재(Chul Jae Park),유재영(Jae Young Yoo)
Abstract
Background/Aims : There are some reports which show higher Helicobacter pylori (H. pylori) seroprevalence in patients with colonic adenoma and carcinomas, than in control subjects. The H. pylori infection rate and simultaneous gastroduodenal lesions were evaluated to document the relationship between colonic lesions and H. pylori infection. Method : Patients with colonic polyps or cancers who were confirmed by colonoscopic polypectomy or biopsy were studied. H. pylori infections were evaluated serologically and/or with CLO testing. Gastroduodenoscopy was performed. Results : Twenty six subjects were involved. The numbers of the patients with hyperplastic polyps, tubular adenomas and carcinomas were 7, 6 and 13, respectively. The H. pylori infection rate was 65.4%. Simultaneous gastroduodenal lesions were observed in 11 patients (42.3%) and H. pylori infections were found in 9 (81.8%). Among the 17 subjects with H. pylori infections, 9 subjects (52.9%) had simultaneous gastroduodenal lesions. In contrast, 2 subjects (22.2%) had upper gastrointestinal lesions among 9 subjects without H. pylori infections. Conclusions : Patients with colorectal neoplasia can experience, simultaneous gastroduodenal lesions, especially in the cases involving H. pylori infection. (Korean J Gastrointest Endosc 2000;20:91 96)
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