Distinct profiles of gastritis in dyspepsia subgroups: Their different clinical responses to gastritis healing after helicobacter pylori eradication

Research output: Contribution to journalArticle

84 Citations (Scopus)

Abstract

Trespi E, Broglia F. Villani L, Luinetti O, Fiocca R, Solcia E. Distinct profiles of gastritis in dyspepsia subgroups. Their different clinical responses to gastritis healing after Helicobacter pylori eradication. Scand J Gastroenterol 1994;29:884-888. Background: A contribution of Helicobacter pylori gastritis to the pathogenesis of non-ulcer dyspepsia (NUD) remains uncertain. Methods: Administration of an appropriate clinical questionnaire followed by endoscopy allowed us to select, among 139 outpatients with dyspepsia, 87 non-ulcer dyspepsia patients with more severe and group-distinctive symptoms, 35 of whom were classified as having ulcer-like (ULD), 38 as dysmotility-like (DLD), and 14 as reflux-like dyspepsia (RLD). Biopsy specimens were evaluated for H. pylori gastritis in accordance with the Sydney system. The 70 H. pylori-positive cases were treated with omeprazole, 20 mg twice daily, and amoxycillin, 1 g three times daily for 2 weeks. Results: Higher rates of H. pylori colonization were found histologically in the gastric mucosa of ULD (91% and RLD (86% than in that of DLD (68% or asymptomatic (42% patients. ULD differed from RLD patients in their higher score of antritis activity. Three and 6 months after H. pylori eradication ULD (but not DLD) showed significant regression of dypspetic symptoms scores. Conclusions: It seems likely that H. pylori gastritis, with special reference to active antritis, is among causative factors of ULD. Its role in the pathogenesis of RLD and DLD needs further investigation.

Original languageEnglish
Pages (from-to)884-888
Number of pages5
JournalScandinavian Journal of Gastroenterology
Volume29
Issue number10
DOIs
Publication statusPublished - 1994

Fingerprint

Dyspepsia
Gastritis
Helicobacter pylori
Omeprazole
Amoxicillin
Gastric Mucosa
Endoscopy
Ulcer
Outpatients
Biopsy

Keywords

  • Dysmotility-like
  • Dyspepsia
  • Gastritis suppression
  • Helicobacter pylori eradication
  • Helicobacter pylori gastritis
  • Reflux-like
  • Symptom scores
  • Ulcer-like

ASJC Scopus subject areas

  • Gastroenterology

Cite this

@article{c3a4960e43fc4ba783e8c8d8e9089315,
title = "Distinct profiles of gastritis in dyspepsia subgroups: Their different clinical responses to gastritis healing after helicobacter pylori eradication",
abstract = "Trespi E, Broglia F. Villani L, Luinetti O, Fiocca R, Solcia E. Distinct profiles of gastritis in dyspepsia subgroups. Their different clinical responses to gastritis healing after Helicobacter pylori eradication. Scand J Gastroenterol 1994;29:884-888. Background: A contribution of Helicobacter pylori gastritis to the pathogenesis of non-ulcer dyspepsia (NUD) remains uncertain. Methods: Administration of an appropriate clinical questionnaire followed by endoscopy allowed us to select, among 139 outpatients with dyspepsia, 87 non-ulcer dyspepsia patients with more severe and group-distinctive symptoms, 35 of whom were classified as having ulcer-like (ULD), 38 as dysmotility-like (DLD), and 14 as reflux-like dyspepsia (RLD). Biopsy specimens were evaluated for H. pylori gastritis in accordance with the Sydney system. The 70 H. pylori-positive cases were treated with omeprazole, 20 mg twice daily, and amoxycillin, 1 g three times daily for 2 weeks. Results: Higher rates of H. pylori colonization were found histologically in the gastric mucosa of ULD (91{\%} and RLD (86{\%} than in that of DLD (68{\%} or asymptomatic (42{\%} patients. ULD differed from RLD patients in their higher score of antritis activity. Three and 6 months after H. pylori eradication ULD (but not DLD) showed significant regression of dypspetic symptoms scores. Conclusions: It seems likely that H. pylori gastritis, with special reference to active antritis, is among causative factors of ULD. Its role in the pathogenesis of RLD and DLD needs further investigation.",
keywords = "Dysmotility-like, Dyspepsia, Gastritis suppression, Helicobacter pylori eradication, Helicobacter pylori gastritis, Reflux-like, Symptom scores, Ulcer-like",
author = "E. Trespi and F. Broglia and L. Villani and O. Luinetti and R. Fiocca and E. Solcia",
year = "1994",
doi = "10.3109/00365529409094858",
language = "English",
volume = "29",
pages = "884--888",
journal = "Scandinavian Journal of Gastroenterology",
issn = "0036-5521",
publisher = "Informa Healthcare",
number = "10",

}

TY - JOUR

T1 - Distinct profiles of gastritis in dyspepsia subgroups

T2 - Their different clinical responses to gastritis healing after helicobacter pylori eradication

AU - Trespi, E.

AU - Broglia, F.

AU - Villani, L.

AU - Luinetti, O.

AU - Fiocca, R.

AU - Solcia, E.

PY - 1994

Y1 - 1994

N2 - Trespi E, Broglia F. Villani L, Luinetti O, Fiocca R, Solcia E. Distinct profiles of gastritis in dyspepsia subgroups. Their different clinical responses to gastritis healing after Helicobacter pylori eradication. Scand J Gastroenterol 1994;29:884-888. Background: A contribution of Helicobacter pylori gastritis to the pathogenesis of non-ulcer dyspepsia (NUD) remains uncertain. Methods: Administration of an appropriate clinical questionnaire followed by endoscopy allowed us to select, among 139 outpatients with dyspepsia, 87 non-ulcer dyspepsia patients with more severe and group-distinctive symptoms, 35 of whom were classified as having ulcer-like (ULD), 38 as dysmotility-like (DLD), and 14 as reflux-like dyspepsia (RLD). Biopsy specimens were evaluated for H. pylori gastritis in accordance with the Sydney system. The 70 H. pylori-positive cases were treated with omeprazole, 20 mg twice daily, and amoxycillin, 1 g three times daily for 2 weeks. Results: Higher rates of H. pylori colonization were found histologically in the gastric mucosa of ULD (91% and RLD (86% than in that of DLD (68% or asymptomatic (42% patients. ULD differed from RLD patients in their higher score of antritis activity. Three and 6 months after H. pylori eradication ULD (but not DLD) showed significant regression of dypspetic symptoms scores. Conclusions: It seems likely that H. pylori gastritis, with special reference to active antritis, is among causative factors of ULD. Its role in the pathogenesis of RLD and DLD needs further investigation.

AB - Trespi E, Broglia F. Villani L, Luinetti O, Fiocca R, Solcia E. Distinct profiles of gastritis in dyspepsia subgroups. Their different clinical responses to gastritis healing after Helicobacter pylori eradication. Scand J Gastroenterol 1994;29:884-888. Background: A contribution of Helicobacter pylori gastritis to the pathogenesis of non-ulcer dyspepsia (NUD) remains uncertain. Methods: Administration of an appropriate clinical questionnaire followed by endoscopy allowed us to select, among 139 outpatients with dyspepsia, 87 non-ulcer dyspepsia patients with more severe and group-distinctive symptoms, 35 of whom were classified as having ulcer-like (ULD), 38 as dysmotility-like (DLD), and 14 as reflux-like dyspepsia (RLD). Biopsy specimens were evaluated for H. pylori gastritis in accordance with the Sydney system. The 70 H. pylori-positive cases were treated with omeprazole, 20 mg twice daily, and amoxycillin, 1 g three times daily for 2 weeks. Results: Higher rates of H. pylori colonization were found histologically in the gastric mucosa of ULD (91% and RLD (86% than in that of DLD (68% or asymptomatic (42% patients. ULD differed from RLD patients in their higher score of antritis activity. Three and 6 months after H. pylori eradication ULD (but not DLD) showed significant regression of dypspetic symptoms scores. Conclusions: It seems likely that H. pylori gastritis, with special reference to active antritis, is among causative factors of ULD. Its role in the pathogenesis of RLD and DLD needs further investigation.

KW - Dysmotility-like

KW - Dyspepsia

KW - Gastritis suppression

KW - Helicobacter pylori eradication

KW - Helicobacter pylori gastritis

KW - Reflux-like

KW - Symptom scores

KW - Ulcer-like

UR - http://www.scopus.com/inward/record.url?scp=0028149914&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028149914&partnerID=8YFLogxK

U2 - 10.3109/00365529409094858

DO - 10.3109/00365529409094858

M3 - Article

C2 - 7839094

AN - SCOPUS:0028149914

VL - 29

SP - 884

EP - 888

JO - Scandinavian Journal of Gastroenterology

JF - Scandinavian Journal of Gastroenterology

SN - 0036-5521

IS - 10

ER -