Local cellular and immune response by antral mucosa in patients undergoing treatment for eradication ofHelicobacter pylori View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1993-05

AUTHORS

K. Jaskiewicz, J. A. Louw, I. N. Marks

ABSTRACT

Thirty-six patients with nonhealing or recurrent duodenal ulcers (DU) were treated with omeprazole; 20 mg/day for one month followed by triple therapies (metronidazole, 400 mg three times a day, tetracycline, 500 mg four times a day with either colloidal bismuth, 120 mg four times a day or sucralfate 1 g four times a day. At least two gastric mucosal samples were collected from the antral portion of the stomach and from the duodenum before and immediately after omeprazole therapy and four weeks after completion of triple therapies. Samples were fixed in buffered formaldehyde and glutaraldehyde and examined histologically and histochemically for inflammation, density of H. pylori colonization, and immunohistochemically for the density of gastrin-secreting cells, immunoglobulins (IgA, IgG, IgM), kappa and lambda light chains and T-lymphocyte population. H. pylori colonization of the antral mucosa before treatment was noted in 100% and active gastritis in 86% of patients. The histologically assessed clearance rate after omeprazole treatment was 47.3%, and after triple therapies, 69.5%. The prevalence of gastritis was observed in 63.9% and 33.3% respectively. All therapies were associated with an accumulation of serous fluid, increased population of lymphocytes and plasma cells, and secretion of immunoglobulins, particularly IgG and IgM in the upper part of the lamina propria. These changes, together with increased numbers of T lymphocytes within the crypt epithelium and the lamina propria, were associated with the presence of H. pylori organisms.(ABSTRACT TRUNCATED AT 250 WORDS) More... »

PAGES

937-943

References to SciGraph publications

  • 1991-08. Lymphocytic gastritis in nonulcer dyspepsia in DIGESTIVE DISEASES AND SCIENCES
  • 1991-05. Effect of omeprazole on duodenal ulcer-associated antral gastritis andHelicobacter pylori in DIGESTIVE DISEASES AND SCIENCES
  • 1990-07. Histology of gastric biopsies from peptic ulcer patients before and after short-term treatment with omeprazole or H2-receptor antagonists in VIRCHOWS ARCHIV A PATHOLOGICAL ANATOMY AND HISTOPATHOLOGY
  • 1991-02. Omeprazole in DIGESTIVE DISEASES AND SCIENCES
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/bf01295924

    DOI

    http://dx.doi.org/10.1007/bf01295924

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1022173320

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/8482195


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