The Significance of Erosive Prepyloric Change or Helicobacter pylori Infection in Patients with Functional Dyspepsia.
- Author:
Kwi Soon LEE
1
;
Hyo Jin PARK
;
Soo Hwan OH
;
Hong Woo LEE
;
Sang In LEE
;
In Suh PARK
Author Information
1. Department of Internal Medicine, College of Medicine Yonsei University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Helicobactor pylori;
Erosive prepyloric change;
Functional dyspepsia
- MeSH:
Dyspepsia*;
Gastric Emptying;
Healthy Volunteers;
Helicobacter pylori*;
Helicobacter*;
Humans;
Urease
- From:Korean Journal of Gastrointestinal Endoscopy
1998;18(4):479-484
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: The etiology of funetional dyspepsia remains unknown, with inconclusive evidence for several factors, including abnormal gastroduodenal motility, personal traits, infection of Helicobactor pylori (H. pylori) and erosive prepyloric change (EPC). Therefore, we evaluated the relation between H. pylori or EPC and gastric emptying in patients with functional dyspepsia. METHODS: We performed an ultrasonographic gastric emptying test in 18 patients with functional dyspepsia comparing 6 healthy volunteers as the control. The presence of BPC in the stomah was diagnosed by esophogogastroduodenoscopy, and the Helicobacter pylori infection was evaluated using a rapid urease test. RESULTS: The erosive prepyloric change in the antrum was revealed in five patients with dyspepsia. Amang the EPC (+), EPC (-) with dyspepsia, and healthy volunteers, the parameters of the ultrasonographic gastric emptying test and subjective symptom scores did not reveal significant differences. Among the H. pylori (+), H. pylori (-) patients with dyspepsia and healthy volunteers, the parameters of the ultrasonographic gastric emptying test and subjective symptom scores did not reveal significant differences. CONCLUSIONS: No association was found between dyspeptic symtoms and the presence of H. pylori infection or EPC. The two factors, Helicobacter pylori infection and erosive prepyloric change, did not affect the gastric motility in functional dyspepsia.
