Prevalence of Helicobacter Pylori (H. Pylori) Infection among Patients Undergoing Upper Gastrointestinal Endoscopy: An Institution Based Study

Authors

  • Prabhat Pradhan Department of Surgery, Jigme Dorji Wangchuck National Referral Hospital, Thimphu Bhutan
  • Gyan Prasad Bajgai Department of Dentistry, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan

DOI:

https://doi.org/10.54536/ajmsi.v2i1.1320

Keywords:

Endoscopy, Gelephu, Helicobacter Pylori, Prevalence

Abstract

Several studies have established region-based prevalence rate of H. pylori infection and its association with clinical outcomes in Bhutan. However, this study attempts to determine hospital-based prevalence rate of H. pylori and its association with clinical outcomes. A total of 347 volunteers (159 females and 188 males; mean age of 49.8 ± 15.5 years) were enrolled from Central Regional Referral Hospital (CRRH) in Gelephu. Upper gastro-intestinal endoscopy (UGIE) was performed among the dyspeptics and H. pylori infection was determined by Histology examination. The histological prevalence of H. pylori among 347 patients who went upper gastro-intestinal endoscopy was 55.6%. The prevalence of H. pylori infection increased with age but it was statistically insignificant (P > 0.05). Gastritis was the most common endoscopic finding, present in 309 (89%) patients followed by normal upper endoscopy results in 24 (6.9%) patients. The prevalence of H. pylori among patients with gastritis and a duodenal ulcer was significantly higher than in patients with gastric cancer (P < 0.05). The high incidence of gastritis in the hospital may be attributed to the high prevalence of H. pylori infection among the individuals with dyspepsia.

Downloads

Download data is not yet available.

References

Salih, B.A. (2009). Helicobacter pylori infection in developing countries: the burden for how long? Saudi journal of gastroenterology. Official Journal of the Saudi Gastroenterology Association,15(3), 201-7.

Van Duynhoven, Y. T., & de Jonge, R. (2001). Transmission of Helicobacter pylori: a role for food? Bulletin of the World Health Organization, 79(5), 455-60.

Kaur G, Naing NN. (2003). Prevalence and ethnic distribution of helicobacter pylori infection among endoscoped patients in north eastern peninsular malaysia. The Malaysian journal of medical sciences: MJMS., 10(2), 66-70.

Malaty, H. M., Kim, J. G., Kim, S. D., & Graham, D. Y. (1996). Prevalence of Helicobacter pylori infection in Korean children: inverse relation to socioeconomic status despite a uniformly high prevalence in adults. American Journal of Epidemiology, 143(3), 257-62.

Bardhan PK. (1997). Epidemiological features of Helicobacter pylori infection in developing countries. Clinical infectious diseases : An official publication of the Infectious Diseases Society of America., 25(5), 973-8.

McColl KE. (2010). Clinical practice. Helicobacter pylori infection. The New England journal of medicine., 362(17), 1597-604.

Shiota S, Mahachai V, Vilaichone RK, Ratanachu-ek T, Tshering L, Uchida T, et al. (2013). Seroprevalence of Helicobacter pylori infection and gastric mucosal atrophy in Bhutan, a country with a high prevalence of gastric cancer. J Med Microbiol., 62(10), 1571-8.

Dendup T, Richter JM, Yamaoka Y, Wangchuk K, Malaty HM. (2015). Geographical distribution of the incidence of gastric cancer in Bhutan. World J Gastroenterol., 21(38), 10883-9.

Dorji D, Dendup T, Malaty HM, Wangchuk K, Yangzom D, Richter JM. (2014). Epidemiology of Helicobacter pylori in Bhutan: the role of environment and Geographic location. Helicobacter. 19(1), 69-73.

Vilaichone RK, Mahachai V, Shiota S, Uchida T, Ratanachu-ek T, Tshering L, et al. (2013). Extremely high prevalence of Helicobacter pylori infection in Bhutan. World J Gastroenterol., 19(18), 2806-10.

El-Zimaity HM. (2000). Accurate diagnosis of Helicobacter pylori with biopsy. Gastroenterol Clin North Am., 29(4), 863-9.

Megraud F, Brassens-Rabbe MP, Denis F, Belbouri A, Hoa DQ. (1989). Seroepidemiology of Campylobacter pylori infection in various populations. Journal of clinical microbiology., 27(8), 1870-3.

Rodrigo Saez L, Riestra Menendez S, Fernandez Rodriguez E, Fernandez Velazquez MR, Garcia Alonso S, Lauret Brana ME. (1997). Epidemiological study of the prevalence of Helicobacter pylori infection in the general population in Asturias, Spain. Rev Esp Enferm Dig., 89(7), 511-22.

Koch A, Krause TG, Krogfelt K, Olsen OR, Fischer TK, Melbye M. (2005). Seroprevalence and risk factors for Helicobacter pylori infection in Greenlanders. Helicobacter., 10(5), 433-42.

Jemilohun AC, Otegbayo JA, Ola SO, Oluwasola OA, Akere A. (2010). Prevalence of Helicobacter pylori among Nigerian patients with dyspepsia in Ibadan. Pan Afr Med J., 6(18).

Ndububa DA, Agbakwuru AE, Adebayo RA, Olasode BJ, Olaomi OO, Adeosun OA, et al. (2001). Upper gastrointestinal findings and incidence of Helicobacter pylori infection among Nigerian patients with dyspepsia. West Afr J Med., 20(2), 140-5.

Olubuyide IO, Atoba MA, Ayoola EA. (1989). Dyspepsia in Ibadan. Trop Geogr Med., 41(4), 337-40.

Ratha-korn vilaichone, Natsuda Aumpan, Thawee Ratanachu-ek, (2020). Lotay Tshering……Population-based study of Helicobacter pylori infection and antibiotic resistance in Bhutan. International Journal of Infectious Diseases.

Downloads

Published

2023-03-30

How to Cite

Pradhan, P., & Bajgai, G. P. (2023). Prevalence of Helicobacter Pylori (H. Pylori) Infection among Patients Undergoing Upper Gastrointestinal Endoscopy: An Institution Based Study. American Journal of Medical Science and Innovation, 2(1), 47–50. https://doi.org/10.54536/ajmsi.v2i1.1320