Evaluation of H. pylori - Eradication Triple Therapy in Iraqi Peptic Ulcer Patients according to ABO Phenotypes: a New Study

Abstract

Infection with H. pylori is an up growing public health problem that affects approximately 50% of people in industrialized nations, and up to 80% in developing countries.Helicobacter pylori (H. pylori) infection had been identified as the main causes of peptic ulcer disease (PUD). Blood group A phenotype was associated with gastric ulcer (GU) and gastric carcinoma, while blood group O phenotype found to be associated with duodenal ulcer DU predominantly; however, no explanation for this association was received. This study was conducted to, first, determine the relationship between ABO blood groups and H. pylori infection in peptic ulcer patients, and second, to study the response to the two weeks H. pylori eradication triple therapy in peptic ulcer patients carrying different blood groups. A total of 84 patients who presented with symptoms of PUD and showed positive endoscopic examination of PUD a n d evidence of H. pylori i nfec tion by histology and stool antigen test, were divided into four groups according to ABO blood group phenotype. All H. pylori infected patients received s t a n d a r d H. pylori eradication triple therapy for 14 days duration. Patients were followed up by re-endoscopic examination after 2 months of treatment course. The percentage of H. pylori infection in patients with peptic ulcer disease carrying blood group O was higher than other blood group phenotype. In H.pylori-detnefni peptic ulcer stfdnefp , higher incidence of gastric ulcer (GU) was noticed among blood group A carriers, while higher incidence of duodenal ulcer (DU) was found among blood group O carriers when compare with other blood group phenotypes. neetfnne days triple therapy showed lower eradication rate in H. pylori infected blood group O peptic ulcer patients, while a higher response to the s t a n d a r d H. pylori eradication triple therapy was found among patients with blood group B phenotype.

Gene sequencing of Blastocystis hominis and its association with H. pylori in the development of irritable bowel syndrome

“…in Diyala [20], in Baghdad [21], in Basrah [22]. In contrast, other studies reported that males were more infected than females such as study in Baghdad [23,24], in Diyala [25].…”

Detection of Helicobacterpylori Antigens among Patients with Gastroenteritis in Erbil City, Iraq

“…Helicobacter pylori is a major health problem throughout the world, and it is more popular in developing than developed countries. Its infection had been identified as the major cause of gastrointestinal tract infection (Baqir et al, 2016;Kutaif et al, 2017).…”