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Helicobacter Pylori Infection among Dyspeptic Patients Referred for Endoscopy
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Functional dyspepsia is one of the most common gastrointestinal symptoms and attributed to various causes including Helicobacter pylori infection. AIM OF THE STUDY: To correlate Helicobacter pylori infection to functional dyspepsia and to identify the possible risk factors for this infection. PATIENTS AND METHODS: Fifty patients who were referred to the endoscopy unit for dyspepsia symptoms, secondary gastric causes of dyspepsia were excluded during endoscopy, gastric biopsies were taken for histopathological study and for bedside urease test for detection of Helicobacter pylori infection. RESULTS: 62% of non-ulcer dyspeptic patients were infected with Helicobacter pylori, 74.2% of the patients were above 30 years old, female gender patients were more than male patients ( 61.3% versus 38.7%).Using two standard methods of diagnosis of Helicobacter pylori infection, 31 patients had positive histopathology and urease test, 9 of them were positive for helicobacter pylori infection with single method (6 by histopathology and 3 by urease).Histopathology test has sensitivity 88% and specificity 76% in respect to rapid urease test for detection of Helicobacter pylori infection. CONCLUSION: The incidence of helicobacter pylori infection in patients with functional dyspepsia doesn’t differ from what reported in general population in our locality which may argue the role of helicobacter pylori infection in non-ulcer dyspepsia. Female gender and age >30 years were the common risk factors for the infection. Smoking and alcohol consumption were not associated with increased risk of infection.