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Serum positive cagA in patients with non-ulcer dyspepsia and peptic ulcer disease from two centers in different regions of Turkey

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World Journal of Gastroenterology 2003年第4期9卷 833-835页

作者： Ender Serin Uur Yilmaz ganiye künefeci Birol zer Yüksel Gümürdülü Mustafa Gülü Fazilet kayaseluk Sedat Boyaciolu Ba kent University Faculty of Medicine Department of GastroenterologyAdana Teaching and Medical Research CenterDadalolu Mahallesi39 SokakNo:601250 AdanaTurkey Ba■kent University Faculty of Medicine Department of GastroenterologyAnkara HospitalDadalolu Mahallesi39 SokakNo:601250 AdanaTurkey Ba■kent University Faculty of Medicine Department of PathologyAdana Teaching and Medical Research Center Dadalolu Mahallesi39 SokakNo:601250 AdanaTurkey

AIM: To investigate and compare frequencies of serum positive cagA in patients from two separate regions of Turkey who were grouped according to the presence of peptic ulcer disease or non-ulcer ***: One hundred and eighty Helicobacter pyloripositive patients with peptic ulcer disease or non-ulcer dyspepsia were included in the study. One hundred and fourteen patients had non-ulcer dyspepsia and 66 had peptic ulcer disease (32 with gastric ulcers and/or erosions and 34with duodenal ulcers). Each patient was tested for serum antibody to H. pylori cagA protein by enzyme ***: The total frequency of serum positive cagA in the study group was 97.2 %. The rates in the patients with peptic ulcers and in those with non-ulcer dyspepsia were 100% and 95.6%, respectively. These results were similar to those reported in Asian studies, but higher than those that have been noted in other studies from Turkey and Western ***: The high rates of serum positive cagA in these patients with peptic ulcer disease and non-ulcer dyspepsia were similar to results reported in Asia. The fact that there was high seroum prevalence regardless of ulcer status suggests that factors other than cagA might be responsible for ulceration or other types of severe pathology in H. pylori-positive individuals.

关键词： Helicobacter pylori Adult Biological Markers Dyspepsia Female Gastric Mucosa Helicobacter Infections Humans Male Peptic Ulcer Reproducibility of Results Turkey Urease

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