The Eradication Rate of Helicobacter pylori Infection in Complicated Peptic Ulcer Diseases |
합병증을 동반한 소화성 궤양 환자에서 Helicobacter pylori의 제균율 |
김철영·이상우·정록선·김민정·진윤태·이홍식·전훈재·엄순호·최재현·김창덕·류호상·현진해 |
고려대학교 의과대학 내과학교실 |
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Abstract |
Background/Aims: Helicobacter pylori(H. pylori) is present in more than 90% of peptic ulcer patients. Substantial evidences suggest that eradication of the infection improves the ulcer healing and reduces the complications. The aim of this study was to evaluate the eradication rate of H. pylori in complicated peptic ulcer diseases. Methods: From April 1999 through April 2003, 89 complicated peptic ulcer patients(hemorrhage, perforation, obstruction) with H. pylori infection were enrolled. H. pylori infection was analyzed by rapid urease test, 13C-urea breath test and histologic examination. The patients were treated with PPI based triple therapy for 7∼14 days. One month after completion of therapy, 13C-urea breath test, histologic examination or rapid urease test was performed to confirm eradication. Results: The eradication rate of H. pylori in the patients with complicated peptic ulcer diseases was 79.8%(71 of 89), which was not significantly different from that of patients with uncomplicated peptic ulcer diseases, 85.1%(361 of 424, p=0.089). Conclusions: The eradication rate of H. pylori infection in complicated peptic ulcer diseases is not significantly different from that of uncomplicated peptic ulcer diseases. (Korean J Helicobacter Upper Gastrointest Res 2004;4:21-24) |
Key Words:
Peptic ulcer, Complication, Helicobacter pylori, Eradication rate |
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