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Research ArticleOriginal Article
Open Access

Frequency of Helicobacter pylori infection in dyspeptic patients in Libya

Asim S. Bakka, Anis B. El-Gariani, Fouzi M. AbouGhrara and Barik A. Salih
Saudi Medical Journal October 2002, 23 (10) 1261-1265;
Asim S. Bakka
Department of Microbiology, Faculty of Medicine, Garyounis University, Benghazi, Libya.
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Anis B. El-Gariani
Department of Internal Medicine, El-Jamahiria Hospital, Benghazi, Libya.
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Fouzi M. AbouGhrara
Department of Pathology, Faculty of Medicine, Garyounis University, Benghazi, Libya.
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Barik A. Salih
Department of Biology/Microbiology Unit, Fatih University, Faculty of Science, B.cekmece, Istanbul, Turkey. Tel. +90 (212) 8890810 Ext. 2016. Fax. +90 (212) 8890832. E-mail: [email protected]
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Abstract

OBJECTIVE: Helicobacter pylori infection is a very common infection worldwide particularly in the developing countries. The organism plays an important role in peptic ulcer diseases. The aim of the study was to detect and correlate the prevalence of Helicobacter pylori with such diseases and to evaluate the histopathological grading of gastritis.

METHODS: One hundred thirty two patients of 15-83 years of age (average 38) attending the endoscopy unit at the El-Jamahiria Hospital, Binghazi, Libya, mainly complaining from epigastric pain were randomly selected. Three antral biopsies for rapid urease test, direct smear stain and histology together with serum samples were obtained from each patient. Grading of gastritis and the presence of Helicobacter pylori was scored according to the Sydney system.

RESULTS: Patients were considered infected when 2 of the biopsy-based tests were positive. Helicobacter pylori was detected in 108 (82%) of 132 patients examined (86% by rapid urease test, 77% by direct smear stain, 95% by histology). The endoscopic findings revealed that 77 (77%) of 100 patients with non-ulcer dyspepsia, 26 (96%) of 27 with duodenal ulcer, 4 (100%) of 4 with gastric ulcer and in one patient with gastric cancer were Helicobacter pylori positive. The enzyme-linked immunosorbent assay test showed 94% sensitivity and 88% specificity. Histopathological sections from the majority of duodenal ulcer and gastric ulcer patients revealed higher grade (II and III) of gastritis than non-ulcer dyspepsia patients.

CONCLUSION: Helicobacter pylori infection is significantly correlated with peptic ulcer diseases than with non-ulcer dyspepsia. Patients with duodenal ulcer and gastric ulcer had a significantly higher grade of gastritis than patients with non-ulcer dyspepsia.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 23 (10)
Saudi Medical Journal
Vol. 23, Issue 10
1 Oct 2002
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Frequency of Helicobacter pylori infection in dyspeptic patients in Libya
Asim S. Bakka, Anis B. El-Gariani, Fouzi M. AbouGhrara, Barik A. Salih
Saudi Medical Journal Oct 2002, 23 (10) 1261-1265;

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Frequency of Helicobacter pylori infection in dyspeptic patients in Libya
Asim S. Bakka, Anis B. El-Gariani, Fouzi M. AbouGhrara, Barik A. Salih
Saudi Medical Journal Oct 2002, 23 (10) 1261-1265;
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© 2023 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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