Association of Helicobacter Pylori Infection with Functional Dyspepsia.

Mymensingh medical journal : MMJ Pub Date : 2025-01-01
M R Karim, M S Alam, A Islam, M S Malek, M S Ahsan, E Mia, S Hossain
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Abstract

Helicobacter pylori (H pylori) infection is known to be associated with dyspepsia for more than three decades. This study was conducted to investigate the frequency of H pylori infection in functional dyspepsia. Helicobacter pylori infection was detected by stool antigen tests were analyzed in 102 patients with functional dyspepsia. The functional dyspepsia was diagnosed according to Rome IV criteria as well as normal upper GI (Gastro-intestinal) endoscopy and abdominal ultrasonography within six months. In this study, H pylori infection rate diagnosed by the stool antigen test was detected to be 26.5% among the people with functional dyspepsia. Sex-based proportion H pylori infection was 21.2% for men and 29.0% for women with functional dyspepsia. The highest prevalent group with Helicobacter pylori infection was 30-39 years. In this study, 25.75% of rural participants and 27.78% of urban participants with functional dyspepsia were positive for H pylori. The stool antigen positive group and the stool antigen negative group were not significantly different in respect to age (p=0.29), sex (p=0.41) and residence (p=0.82). This study showed an increased stool antigen positivity rate for H pylori infection among the patients with functional dyspepsia. Further studies are required to determine the exact prevalence of H pylori among this group of patients.

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幽门螺杆菌感染与功能性消化不良的关系。
三十多年来,人们一直认为幽门螺杆菌感染与消化不良有关。本研究旨在探讨功能性消化不良患者幽门螺杆菌感染的频率。分析102例功能性消化不良患者粪便抗原检测幽门螺杆菌感染情况。根据Rome IV标准诊断为功能性消化不良,6个月内上消化道内镜及腹部超声检查正常。本研究发现,功能性消化不良患者中,通过粪便抗原试验诊断的幽门螺杆菌感染率为26.5%。在功能性消化不良患者中,男性幽门螺杆菌感染率为21.2%,女性为29.0%。幽门螺杆菌感染率最高的年龄组为30 ~ 39岁。在本研究中,25.75%的农村参与者和27.78%的城市参与者功能性消化不良患者幽门螺杆菌阳性。粪便抗原阳性组和粪便抗原阴性组在年龄(p=0.29)、性别(p=0.41)和居住地(p=0.82)方面差异无统计学意义。本研究显示功能性消化不良患者幽门螺杆菌感染的粪便抗原阳性率增高。需要进一步的研究来确定这组患者中幽门螺杆菌的确切患病率。
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