Association of helicobacter pylori infection with nutritional status in hemodialysis patients

Sezer, Sıren; Ibis, A.; Ozdemır, B. Handan; Özdemir, F.N.; Kulah, Eyup; Boyacıoğlu, Sedat; Haberal, Mehmet

doi:10.1016/j.transproceed.2003.11.023

Cited by 31 publications

(34 citation statements)

References 7 publications

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“…Several factors may contribute to this problem, including age, nausea and vomiting due to uremic toxins, gastroparesis, inadequate dialysis, loss of nutrients in the dialysate, inadequate protein intake, protein degradation and amino acid oxidation, as well as catabolic processes that occur during dialysis with bioincompatible membranes (8). In addition, malnutrition may be related to inflammatory and infectious complications (11).…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, another study reported that eradication of HP, significantly improved the nutritional status [albumin level increased from 3.8±0.3 to 4.0±0.6 g/dL, (P < .03)] in HD population. Hence, all HD patients with malnutrition should be examined for HP infection (8). However, there are some researchers who believe that HP eradication has no effect on metabolic parameters (29)(30)(31).…”

Section: Discussionmentioning

confidence: 99%

“…Considering the association between HP infection and nutritional parameters (4,8), we aimed to determine the association between HP infection and the status of BMI in HD patients and to found out the link between HP infection and development of malnutrition (8).…”

Section: Objectivesmentioning

confidence: 99%

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Association between helicobacter pylori infection and body mass index, before and after eradication of infection in hemodialysis batients

2012

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Background: In dialysis patients, chronic infections have been associated with cachexia and anorexia. Objectives: This study was carried out to determine the association between Helicobacter pylori (HP) infection and body mass index (BMI) in hemodialysis (HD) patients. Patients and Methods: Ninety eight patients were divided into two groups of negative (group 1) and positive (group 2), for HP. BMI of all patients was measured at the beginning and in group2 after six months following eradication of HP. Before dialysis, various paraclinical parameters were checked at the same intervals. Results: Fifty-nine patients were enrolled in group 1 and 39 patients in group 2. The means of BMI in groups 1 and 2 were 23.4±3.7 and 25.8±4.4kg/m², respectively. Prior to the study, there was no significant difference for BMI, duration of HD and paraclinic data between two groups. Group 2 took anti HP therapy and eradication occurred in 30 of them. In this group six months after eradication of HP, the BMI was significantly decreased from 25.02±4.4 to 24.4±4.0 kg/m² (P = 0.001). Also six months following the eradication of HP, the mean of serum albumin level was significantly declined from 4.2 to 3.7 g/L (P<0.001). There was also significant decrease in cholesterol (P=0.001), blood urea nitrogen (P=0.005) and calcium (P=0.02). However, significant increase in hemoglobin level was also seen (P=0.03). Conclusions:The results of this study show that eradication of HP has an impact on BMI. The results need to be investigated with larger cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Association between helicobacter pylori infection and body mass index, before and after eradication of infection in hemodialysis batients

2012

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“…This concept has since changed following the identification of H. pylori as a primary cause of PUD in the majority of patients (70 -90%). Numerous gastro-intestinal disorders have been linked to HP infection worldwide 27,28 .…”

Section: Management and Drug Procurement Patternsmentioning

confidence: 99%

Risk Factors, Management and Other Correlates of Peptic Ulcer Disease in a University Community in South-South Nigeria

Eniojukan

Okonkwo

Adje

2017

PBJ

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The most common causes of peptic ulcer disease (PUD) are Helicobacter pylori infection and use of non-steroidal anti-inflammatory drugs (NSAIDs).Treatment choices include standard triple therapy. This study evaluated the patterns of prevalence, life-style risk factors and correlates of management of PUD among Staff and Students of Delta State University, Abraka Campus, Nigeria. A descriptive cross sectional study was initiated among 450 willing staff and student respondents. A total of 126 respondents that had been diagnosed for PUD were further evaluated for prevalence and patterns, confounding life-style factors, drug therapy and other correlates of PUD management by using self-designed, pre-tested questionnaires that addressed the objectives of the study. Data was analyzed using Statistical Package for Social Sciences, version16.0 (SPSS Inc. Chicago Illinois). Duodenal Ulcer (DU) had a higher prevalence than Gastric Ulcer (GU) in a ratio of 1.5:1. The prevalence of GU was higher among Staff, Males and those older than 35 years; DU had a higher prevalence among the Students, Females and 16-35 yrs age group. The greatest lifestyle risk factors identified were consumption of NSAIDs, Tobacco and Alcohol. Regarding drug treatment, over 90% of drugs prescribed were antibiotics; nearly all respondents claimed to experience side-effects which included Diarrhea, Abdominal Pain and Headache; nearly all respondents often adhered to instructions to avoid Alcohol. In this population, PUD prevalence and pattern was structured along gender and age. There were issues with lifestyles which could have contributed to the pathophysiology of PUD. Patients experienced some side-effects that affected adherence to instructions. Management seemed appropriate with the use of triple therapies. However, there is still a dire need for strategic health education on PUD risk factors and self-care practices.

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“…Some reports suggest that there is no effect from duration of dialysis on the prevalance of H. pylori infection and others suggest that H. pylori prevalence decreases with long term dialysis. The explanation for the lower H. pylori prevalence in patients on long term hemodialysis is due to the increased prescription of antibiotics and higher serum antibiotic concentration than the normal population, and to aliminum containing anti-acids and uremia, which can change bacterial colonization of the upper gastrointestinal tract (10,(18)(19)(20).…”

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confidence: 99%

Böbrek nakli alıcı adaylarında Helicobacter pyloriprevalansı ve endoskopik bulgularla ilişkisi

Savas¹

2014

Akademik Gastroenteroloji Dergisi

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Giriş ve amaç:Helicobacter pylori enfeksiyonu peptik ülser, gastrik kanser ve gastrik MALT lenfoma ile yakın ilişkilendirilmiştir. Türkiye'de normal böbrek fonksiyonu olan hastalarda Helicobacter pylori prevalansı yüksek olup Helicobacter pylori enfeksiyonu üst gastrointestinal sistem bulguları olan hastalarda majör risk faktörü olarak düşünülmektedir. Buna rağmen kronik böbrek yetmezlikli hastalarda Helicobacter pylori'nin gastrointestinal mukozal lezyonlarla ilişkisi net olarak bilinmemektedir. Bu çalışmanın amacı böbrek nakli alıcı adaylarındaki endoskopik bulguları değerlendirmek, bu hastalardaki Helicobacter pylori prevalansını saptamak ve endoskopik bulgularla Helicobacter pylori prevalansı arasında ilişki olup olmadığını belirlemektir. Gereç ve Yöntem: Bu amaçla hastanemizde böbrek nakli yapılmış olan 64 hastanın nakilden hemen önceki hazırlık aşamasında yapılan endoskopik bulguları, endoskopik antrum biyopsilerinde hızlı üreaz testi ile saptanan Helicobacter pylori sıklığı analiz edilmiştir. Bulgular: Çalışmaya 64 hasta alınmıştır. Hastaların 41'i (%64) erkek ve 23'ü (%36) kadın hasta idi, hastaların yaş ortalaması 44.7±13.0 (18-67) olup, ortalama diyaliz süreleri 43,0±42,7 (6-189) ay idi, endoskopide 5 (%8) hastada gastrik veya duodenal ülser, 55 (%86) hastada gastrit, 1(%1.8) hastada özofajit, 8 (13%) hastada ise normal endoskopik bulgular izlenmiştir. Endoskopik antral biyopsilerde 9 (%14) hastada Helicobacter pylori pozitif, buna karşın 55 (%86) hastada Helicobacter pylori negatif saptanmıştır. Endoskopik bulgular arasında sadece gastrik veya duodenal ülser varlığı Helicobacter pylori enfeksiyonu ile istatistiksel olarak anlamlı olarak ilişkilendirilmiş diğer endoskopik bulgular ise Helicobacter pylori enfeksiyonu olan ve olmayan hastalarda benzer oranlarda görülmüştür. Diyaliz tipi ve diyaliz sürelerinin Helicobacter pylori varlığı ile ilişkisi bulunamamıştır. Sonuç: Böbrek nakli alıcı adaylarındaki Helicobacter pylori prevalansı normal topluma göre belirgin oranda düşüktür. Helicobacter pylori enfeksiyonu endoskopide yalnızca peptik ülser varlığı ile yakın ilişkilendirilmiş olup peptik ülser dışı endoskopik bulgular Helicobacter pylori dışı faktörler ile ilişkilendirilebilinir. Anahtar kelimeler: Helicobacter pylori, kronik böbrek yetmezliği, böb-rek nakli

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Association of helicobacter pylori infection with nutritional status in hemodialysis patients

Cited by 31 publications

References 7 publications

Association between helicobacter pylori infection and body mass index, before and after eradication of infection in hemodialysis batients

Association between helicobacter pylori infection and body mass index, before and after eradication of infection in hemodialysis batients

Risk Factors, Management and Other Correlates of Peptic Ulcer Disease in a University Community in South-South Nigeria

Böbrek nakli alıcı adaylarında Helicobacter pyloriprevalansı ve endoskopik bulgularla ilişkisi

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