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Helicobacter pylori infection with atrophic gastritis: An independent risk factor for colorectal adenomas

World Journal of Gastroenterology 2020年第37期26卷 5682-5692页

作者： Qin-Fen Chen Xiao-Dong Zhou Dan-Hong Fang En-Guang Zhang Chun-Jing Lin Xiao-Zhen Feng Na Wang Jian-Sheng Wu Dan Wang Wei-Hong Lin Department of Physical Examination Medical Care Center The First Affiliated Hospital of Wenzhou Medical UniversityWenzhou 325000Zhejiang ProvinceChina Department of Cardiovascular Medicine The Key Laboratory of Cardiovascular Diseases of WenzhouThe First Affiliated Hospital of Wenzhou Medical UniversityWenzhou 325000Zhejiang ProvinceChina

BACKGROUND The significance of Helicobacter pylori(***)infection and atrophic gastritis(AG)in the prevalence of colorectal adenomas has been examined in a limited number of ***,these studies reported disputed *** To investigate whether *** infection,AG,and ***-related AG increase the risk of colorectal *** This retrospective cross-sectional study included 6018 health-check *** relevant data for physical examination,laboratory testing,13C-urea breath testing,gastroscopy,colonoscopy and histopathological examination of gastric and colorectal biopsies were *** and multivariate logistic regression analyses were performed to determine the association between ***-related AG and colorectal *** Overall,1012 subjects(16.8%)were diagnosed with colorectal adenomas,of whom 143(2.4%)had advanced *** the enrolled patients,the prevalence of *** infection and AG was observed as 49.5%(2981/6018)and 10.0%(602/6018),*** with *** infection had an elevated risk of colorectal adenomas(adjusted odds ratio[OR]of 1.220,95%confidence interval(CI):1.053-1.413,P=0.008)but no increased risk of advance adenomas(adjusted OR=1.303,95%CI:0.922-1.842,P=0.134).AG was significantly correlated to an increased risk of colorectal adenomas(unadjusted OR=1.668,95%CI:1.352-2.059,P<0.001;adjusted OR=1.237,95%CI:0.988-1.549,P=0.064).*** infection accompanied by AG was significantly associated with an increased risk of adenomas(adjusted OR=1.491,95%CI:1.103-2.015,P=0.009)and advanced adenomas(adjusted OR=1.910,95%CI:1.022-3.572,P=0.043).CONCLUSION ***-related AG was associated with a high risk of colorectal adenomas and advanced adenomas in Chinese individuals.

关键词： Helicobacter pylori Gastritis Atrophy Adenomas Colorectal health-check

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