Relationship between Helicobacter pylori Infection and Gastroesophageal Reflux Disease (GERD)

Silvikarina Erfanti Dewi Halim
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Abstract

Background: Helicobacter pylori infection is a gastrointestinal infection that affects about 50% of the world's population, however, its prevalence varies across geographic areas. The actual relationship of H. pylori with gastroesophageal reflux disease (GERD) is still unclear because some studies report a high prevalence of H. pylori in GERD patients, but some studies report the opposite. This study aims to determine the relationship between H. pylori infection and GERD and the prevalence of Helicobacter pylori infection in GERD patients at Eka Hospital Pekanbaru.Method: This study was a cross-sectional study of GERD patients who had undergone endoscopy at Eka Hospital Pekanbaru from January 2021 to December 2022. There were 219 patients. This research was then analyzed with the chi-square test using SPSS version 22.Results: A total of 219 GERD patients met the criteria for this study. 108 of them were positive for H. pylori from the results of endoscopic biopsies. The prevalence of GERD patients infected with H. pylori is 49.3%. 108 of them were positive patients, 14 (13%) GERD patients were ≥ 60 years old and 94 (87%) were 60 years old. Of the 108 positive patients, 53 (49.1%) were male, 55 (50.9%) were female. Where age and gender did not significantly increase the risk of H. pylori infection (p 0.05). The most common endoscopic biopsy finding is chronic erosive gastritis.Conclusion: Although the prevalence of GERD patients infected with H. pylori was quite large (49.3%), there was no significant association between GERD patients and the incidence of H. pylori infection.
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幽门螺杆菌感染与胃食管反流病(GERD)之间的关系
背景:幽门螺杆菌感染是一种胃肠道感染,影响着全球约 50%的人口,但其流行程度因地域而异。幽门螺杆菌与胃食管反流病(GERD)的实际关系仍不清楚,因为有些研究报告称幽门螺杆菌在胃食管反流病患者中的流行率很高,但有些研究报告却与之相反。本研究旨在确定幽门螺杆菌感染与胃食管反流病之间的关系,以及北干巴鲁埃卡医院胃食管反流病患者的幽门螺杆菌感染率:本研究是一项横断面研究,对象是2021年1月至2022年12月期间在北干巴鲁埃卡医院接受内窥镜检查的胃食管反流病患者。共有 219 名患者。研究结果通过SPSS 22版的卡方检验进行分析:共有 219 名胃食管反流病患者符合本研究的标准。其中 108 人的内镜活检结果显示幽门螺杆菌呈阳性。胃食管反流病患者感染幽门螺杆菌的比例为 49.3%。108 名阳性患者中,14 名(13%)胃食管反流患者的年龄≥ 60 岁,94 名(87%)患者的年龄为 60 岁。108 名阳性患者中,53 名(49.1%)为男性,55 名(50.9%)为女性。年龄和性别并不会明显增加幽门螺杆菌感染的风险(P 0.05)。最常见的内镜活检结果是慢性糜烂性胃炎:尽管胃食管反流患者感染幽门螺杆菌的比例相当高(49.3%),但胃食管反流患者与幽门螺杆菌感染率之间并无明显关联。
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