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© 1994 Oxford University Press

research-article

Helicobacter pylori and Chronic Antral Gastritis in Elderly Patients

I. A. GILLANDERS, P. J. W. SCOTT and G. D. SMITH

Geriatric Medicine Unit, City Hospital Greenbank Drive, Edinburgh EH10 5SB
Departments of Geriatric Medicine Stobhill General Hospital, 133 Balornock Road, Glasgow G21 3UW
Departments of Pathology Stobhill General Hospital, 133 Balornock Road, Glasgow G21 3UW

Fifty-five elderly patients with chronic antral gastritis (CAG) were studied to assess the relationship between Helicobacler pylori (H. pylori) status and CAG subtypes as specified in the Sydney System for Gastritis Classification. Twenty-eight patients (51°c) were H. pylori positive and 27 (49°c) H. pylori negative. H. pylori-positive patients had a significantly greater association with features of severe active CAG (chronic inflammation and polymorph activity) than H. pylori-negative patients. No association was apparent between H. pylori and more advanced stages of CAG (atrophy and intestinal metaplasia) thought to carry pre-malignant potential.

The recognized association between dyspeptic symptoms in elderly people and an H pylori-positive gastritis was confirmed. Use of NSAIDs correlated with a predominantly H. pylori-negative gastritis which was relatively asymptomatic.

Received October 3, 1993;
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