“…26,[34][35][36] Patients in group 2 had undergone resection for advanced cancer; therefore, it is possible that, at surgery, the mucosa adjacent to the tumor had already become inhospitable to HP. In addition, although some patients in both groups may have undergone operation for an HPnegative condition such as duodenal ulcer caused by nonsteroidal anti-inflammatory drugs 37 or gastric cancer developed without the promoter effect of HP infection, 38 this could not be ascertained in our study, which did not investigate preoperative HP status.…”