Low seroprevalence of Helicobacter pylori infection in patients with stress ulcer bleeding View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2000-11-07

AUTHORS

Dieter Schilling, Günter Haisch, Norbert Sloot, Ralf Jakobs, Werner Saggau, Jürgen F. Riemann

ABSTRACT

. Objective: The pathogenesis of stress ulceration in seriously ill patients is uncertain and the pathogenic role of Helicobacter pylori infection is unknown. We therefore assessed the seroprevalence of patients of a cardiosurgical intensive care unit (ICU) with clinically important stress ulcer bleeding. We compared this prevalence with a control group matched for this kind of surgical intervention, missing history of peptic ulcer disease, age and gender. Design: Prospective survey. Setting: Cardiosurgical ICU in a university teaching hospital. Patients and participants: Two thousand five hundred seventy cardiosurgical patients with intravenous ranitidine stress ulcer prophylaxis were screened for clinically important stress ulcer bleeding. Helicobacter pylori seropositivity was measured in all patients with a clinically important bleeding and in a control group of 245 consecutive cardiosurgical patients, matched for the kind of cardiosurgical intervention, age and gender. Results: In 56 of 2570 (2.1%) patients signs of clinically important bleeding were seen. Endoscopical examination revealed stress ulcer bleeding in 42 cases. The incidence of stress ulcer bleeding was 1.6%. The seropositivity of the group with ulcer bleeding was 45.2% whereas 62.4% of the patients in the control group were Helicobacter pylori positive (p=0.08). Conclusions: Our results suggest that the Helicobacter pylori infection does not play a pathogenic role in stress ulcer bleeding. Prophylactic cure of Helicobacter pylori can not be recommended in this setting. More... »

PAGES

1832-1836

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s001340000724

DOI

http://dx.doi.org/10.1007/s001340000724

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1012334792

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/11271092


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