PREVALENCE OF HELICOBACTER PYLORI INFECTION WITH PEPTIC ULCER DISEASES IN IRAQI PATIENTS
Essmaa H. Gutef*
OBJECTIVE: To determine the prevalence of Helicobacter pylori (H. pylori) infection among patients presenting with peptic ulcer disease (PUD). We aimed to examine the effect of age, gender, and types of peptic ulcer on the prevalence of the disease. METHODS: The study included 75 patients with PUD who underwent upper gastrointestinal endoscopy at Baghdad Teaching Hospital/Medical City from 1st of February to 30st of June 2015. All patients underwent upper gastrointestinal endoscopy for visual examination to distinguish between the gastric ulcer (GU) and duodenal ulcer (DU), and the stool antigen test (SAT) for the detection of H. pylori. RESULTS: The overall prevalence rate of H. pylori infection among 75 patients with PUD was 71.3%, while it was high among males (54.55%) as compared with females (45.45%). The H. pylori was high among males predominance with duodenal ulcer (56.1%) as compared with females (43.9),also high incidence of gastric ulcer was shown in this study in elderly patients with mean age (50.4 ± 3.07) years, compared to that of duodenal ulcers mean age (34.5 ± 2.69). Considering the location of ulcer, a lower prevalence of H. pylori infection was found in patients with gastric ulcer, at a rate of 66.7%, compared with 75.9% for those with duodenal ulcers. CONCLUSION: The high prevalence of H. pylori with gastric ulcer was found in the elderly and the high prevalence of H. pylori with duodenal ulcer was found in the males, also a lower prevalence of H. pylori infection was found in patients with gastric ulcer compared with those with duodenal ulcers.
Keywords: gastroduodenal diseases, Helicobacter pylori, Peptic ulcer, Iraq.
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