Presence of Helicobacter Pylori and features of endoscopic findings in patients with Dry Eye
Year 2024,
Volume: 2 Issue: 3, 105 - 108, 30.10.2024
Adnan Özkahraman
,
Beyza Yavuzer
,
Kamil Yavuzer
,
Ozan Durmaz
,
Nüket Bayram Kayar
,
Mehmet Ali Bilgili
,
Yusuf Kayar
Abstract
Aim: Helicobacter pylori causes peptic ulcer, gastric adenocarcinoma, and also causes many extra-gastric involvement. Although contradictory results have been reported in previous studies, some ocular diseases have been associated with Helicobacter pylori infection. Our study aimed to investigate the relationship between the presence of dry eye and Helicobacter pylori infection.
Material and Method: Demographic data, drug, smoking, alcohol use, endoscopic and histological findings, and presence of dry eye were documented. Endoscopic and histopathological findings were compared between patients with dry eye and the control group. The data were analyzed statistically. Statistical significance was set at P <0.05.
Results: Sixty patients with dry eye and 36 without dry eye were included in the study. The presence of Helicobacter pylori was significantly higher in patients with dry eye. While the incidence of Helicobacter pylori was 78.3% (n=43) in the patient group with dry eye, the incidence of Helicobacter pylori was 50.0% (n=18) in the group without dry eye (p=0.004). There were no differences between the groups in terms of endoscopic and histopathological findings.
Conclusions: Helicobacter pylori is also associated with extragastric involvement because of the interaction between bacterial virulence factors and host and environmental factors. Therefore, in the presence of eye diseases, such as dryness, the presence of Helicobacter pylori should be investigated and treated if positive.
References
- 1. Leclerc H. Epidemiological aspects of Helicobacter pylori infection. Bull Acad Natl Med.2006;190(4-5):949-62.
- 2. Hooi JKY, Lai WY, Ng WK et al. Global Prevalence of Helicobacter pylori Infection: Systematic Review and Meta-Analysis. Gastroenterol. 2017;153:420–9.
- 3. Baudron C, Franceschi F, Salles N, Gasbarrini A. Extragastric diseases and Helicobacter pylori infection. Helicobacter. 2013;18:44-51.
- 4. Wang C, Yuan Y, Hunt RH, et al. The association between Helicobacter pylori infection and early gastric cancer: a meta-analysis. Am J Gastroenterol. 2007 Aug;102(8):1789-98.
- 5. Leja M, Grinberga Derica I, Bilgilier C, Steininger C. Epidemiology of Helicobacter pylori infection. Helicobacter. 2019;24:12635-7.
- 6. Franceschi F, Gasbarrini A. Helicobacter pylori and extragastric diseases. Best Pract Res Clin Gastroenterol. 2007;21(2):325-34.
- 7. Roubaud-Baudron C, Krolak-Salmon P, Quadrio I, Mégraud F, Salles N. Impact of chronic Helicobacter pylori infection on Alzheimer’s disease: Preliminary results. Neurobiol Aging. 2012;33(5):11-9.
- 8. Venerito M, Selgrad M, Malfertheiner P. Helicobacter pylori: Gastric cancer and extragastric malignancies: Clinical aspects. Helicobacter. 2013;18:39-43.
- 9. Otasevic L, Zlatanovic G, Paovic AS, et al. Helicobacter pylori: An underestimated factor in acute anterior uveitis and spondyloarthropathies? Ophthalmol. 2007;221(1):6-13.
- 10. He Y, Hu L, Qiu W, Zhu L, Zhu X, Hong M. Clinical characteristics and risk factors of Helicobacter pylori infection-associated Sjogren's syndrome. Immun Inflamm Dis. 2023;11(10):994.
- 11. Chen Q, Zhou X, Tan W, Zhang M. Association between Helicobacter pylori infection and Sjogren syndrome: A meta-analysis. Medicine (Baltimore). 2018;97(49):13528.
- 12. Zeng J, Liu H, Liu X, Ding C. The relationship between Helicobacter pylori infection and openangle glaucoma: A meta-analysis. Invest Ophthalmol Vis Sci. 2015;56(9):5238-45.
- 13. Casella AMB, Berbel RF, Bressanim GL, Malaguido MR, Cardillo JA. Helicobacter pylori is a potential target for the treatment of central serous chorioretinopathy. Clinics. 2012;67:1047-52.
- 14. Sacca SC, Pascotto A, Venturino GM, et al. Prevalence and treatment of Helicobacter pylori in patients with blepharitis. Invest Ophthalmol Vis Sci. 2006;47(2):501-8.
- 15. Malfertheiner P, Megraud F, O'morain C, et al. Management of Helicobacter pylori infection the maastricht v/flörence consensus report. Gut. 2017;66(1):6-30.
- 16. Chen Q, Zhou X, Tan W, Zhang M. Association between Helicobacter pylori infection and sjögren syndrome: a meta-analysis. Medicine. 2018;97(49):13528-31.
- 17. Aragona P, Magazzu G, Macchia G, et al. Presence of antibodies against Helicobacter pylori and its heat-shock protein 60 in the serum of patients with sjögren's syndrome. J Rheumatol. 1999;26(6):1306-11.
- 18. Vardhan N, Chaudhary KP, Sharma V, Kumar SS, Brij S. Helicobacter pylori positive dyspepsia in relation to ocular manifestations and primary open angle glaucoma. The Delhi Ophthalmol Society. 2015;24(4):237-40.
- 19. Lee S, Nam S, Lew H. Clinical Aspects of Patients with Dry Eye Disease according to Helicobacter pylori Infection. J Ophthalmol Res. 2021;4(2):104-113.
- 20. Blomberg L, Hauschild S, Gockeln R, Brewitt H. The "dry eye" syndrome and the gastral Helicobacter pylori infection: Pilot study about a possible existing epidemiological relationship. Invest Ophthalmol Vis Sci. 2004;45:3903-5.
- 21. Smyk DS, Koutsoumpas AL, Mytilinaiou MG, et al. Helicobacter pylori and autoimmune disease: cause or bystander. World J Gastroenterol. 2014;20(3):613-15.
- 22. Giannouli S, Voulgarelis M. Predicting progression to lymphoma in sjögren's syndrome patients. Expert Rev Clin Immunol. 2014;10(4):501-12.
- 23. Pereira MI, Medeiros JA. Role of Helicobacter pylori in gastric mucosa-associated lymphoid tissue lymphomas. World J Gastroenterol. 2014;20(3):684-5.
- 24. Laoruangroj C, Habermann TM, Wang Y, et al. Long-term clinical outcomes of gastric mucosa-associated lymphoid tissue lymphoma in real-world experience. JCO Oncol Pract. 2024;20(8):1103-8.
Göz Kuruluğu olan hastalarda Helikobakter Pilori varlığı ve endoskopik bulguların özellikleri
Year 2024,
Volume: 2 Issue: 3, 105 - 108, 30.10.2024
Adnan Özkahraman
,
Beyza Yavuzer
,
Kamil Yavuzer
,
Ozan Durmaz
,
Nüket Bayram Kayar
,
Mehmet Ali Bilgili
,
Yusuf Kayar
Abstract
Amaç: Helicobacter pylori, peptik ülser ve mide adenokarsinomunun yanı sıra birçok mide dışı tutuluma da neden olmaktadır. Yapılan çalışmalarda çelişkili sonuçlar bildirilse de bazı göz hastalıklarının Helicobacter pylori ile ilişkili olduğu rapor edilmiştir. Çalışmamızda kuru göz varlığı ile Helicobacter pylori pozitifliği arasındaki ilişkiyi araştırmayı amaçladık.
Gereç ve yöntem: Demografik veriler, uyuşturucu, sigara, alkol kullanımı, endoskopik, histolojik bulgular ve kuru göz varlığı dokümante edildi. Kuru göz hastaları ve kontrol grubu arasında endoskopik ve histopatolojik bulgular karşılaştırıldı. Veriler istatistiksel olarak analiz edildi ve p<0,05 olan değerler anlamlı kabul edildi.
Bulgular: Çalışmaya kuru gözü olan 60, kuru gözü olmayan 36 hasta dahil edildi. Kuru gözü olan hastalarda Helicobacter pylori varlığı anlamlı olarak daha yüksek bulundu. Kuru gözü olan hasta grubunda Helicobacter pylori görülme sıklığı %78,3 (n=43) iken, kuru gözü olmayan grupta Helicobacter pylori görülme sıklığı %50,0 (n=18) idi (p=0,004). Endoskopik ve histopatolojik bulgular açısından gruplar arasında fark yoktu.
Sonuç: Bakteriyel virülans faktörü ile konak ve çevresel faktörlerin etkileşimi sonucu Helicobacter pylori'nin birçok ekstragastrik tutulumla da ilişkili olduğu bilinmektedir. Bu nedenle kuruluk gibi göz hastalıklarının varlığında Helicobacter pylori varlığının araştırılıp pozitif ise tedavi edilmelidir.
Ethical Statement
Bu çalışma için etik onay hastanemiz Etik Kurulu'ndan alınmıştır (Onay no: 07/01/2021/2021-01). Tüm prosedürler kurumumuzun insan deney komitesinin etik standartlarına ve Helsinki Bildirgesi'ne uygundu. Araştırmaya katılan tüm katılımcılardan yazılı bilgilendirilmiş onam formları alındı.
Supporting Institution
Yok
References
- 1. Leclerc H. Epidemiological aspects of Helicobacter pylori infection. Bull Acad Natl Med.2006;190(4-5):949-62.
- 2. Hooi JKY, Lai WY, Ng WK et al. Global Prevalence of Helicobacter pylori Infection: Systematic Review and Meta-Analysis. Gastroenterol. 2017;153:420–9.
- 3. Baudron C, Franceschi F, Salles N, Gasbarrini A. Extragastric diseases and Helicobacter pylori infection. Helicobacter. 2013;18:44-51.
- 4. Wang C, Yuan Y, Hunt RH, et al. The association between Helicobacter pylori infection and early gastric cancer: a meta-analysis. Am J Gastroenterol. 2007 Aug;102(8):1789-98.
- 5. Leja M, Grinberga Derica I, Bilgilier C, Steininger C. Epidemiology of Helicobacter pylori infection. Helicobacter. 2019;24:12635-7.
- 6. Franceschi F, Gasbarrini A. Helicobacter pylori and extragastric diseases. Best Pract Res Clin Gastroenterol. 2007;21(2):325-34.
- 7. Roubaud-Baudron C, Krolak-Salmon P, Quadrio I, Mégraud F, Salles N. Impact of chronic Helicobacter pylori infection on Alzheimer’s disease: Preliminary results. Neurobiol Aging. 2012;33(5):11-9.
- 8. Venerito M, Selgrad M, Malfertheiner P. Helicobacter pylori: Gastric cancer and extragastric malignancies: Clinical aspects. Helicobacter. 2013;18:39-43.
- 9. Otasevic L, Zlatanovic G, Paovic AS, et al. Helicobacter pylori: An underestimated factor in acute anterior uveitis and spondyloarthropathies? Ophthalmol. 2007;221(1):6-13.
- 10. He Y, Hu L, Qiu W, Zhu L, Zhu X, Hong M. Clinical characteristics and risk factors of Helicobacter pylori infection-associated Sjogren's syndrome. Immun Inflamm Dis. 2023;11(10):994.
- 11. Chen Q, Zhou X, Tan W, Zhang M. Association between Helicobacter pylori infection and Sjogren syndrome: A meta-analysis. Medicine (Baltimore). 2018;97(49):13528.
- 12. Zeng J, Liu H, Liu X, Ding C. The relationship between Helicobacter pylori infection and openangle glaucoma: A meta-analysis. Invest Ophthalmol Vis Sci. 2015;56(9):5238-45.
- 13. Casella AMB, Berbel RF, Bressanim GL, Malaguido MR, Cardillo JA. Helicobacter pylori is a potential target for the treatment of central serous chorioretinopathy. Clinics. 2012;67:1047-52.
- 14. Sacca SC, Pascotto A, Venturino GM, et al. Prevalence and treatment of Helicobacter pylori in patients with blepharitis. Invest Ophthalmol Vis Sci. 2006;47(2):501-8.
- 15. Malfertheiner P, Megraud F, O'morain C, et al. Management of Helicobacter pylori infection the maastricht v/flörence consensus report. Gut. 2017;66(1):6-30.
- 16. Chen Q, Zhou X, Tan W, Zhang M. Association between Helicobacter pylori infection and sjögren syndrome: a meta-analysis. Medicine. 2018;97(49):13528-31.
- 17. Aragona P, Magazzu G, Macchia G, et al. Presence of antibodies against Helicobacter pylori and its heat-shock protein 60 in the serum of patients with sjögren's syndrome. J Rheumatol. 1999;26(6):1306-11.
- 18. Vardhan N, Chaudhary KP, Sharma V, Kumar SS, Brij S. Helicobacter pylori positive dyspepsia in relation to ocular manifestations and primary open angle glaucoma. The Delhi Ophthalmol Society. 2015;24(4):237-40.
- 19. Lee S, Nam S, Lew H. Clinical Aspects of Patients with Dry Eye Disease according to Helicobacter pylori Infection. J Ophthalmol Res. 2021;4(2):104-113.
- 20. Blomberg L, Hauschild S, Gockeln R, Brewitt H. The "dry eye" syndrome and the gastral Helicobacter pylori infection: Pilot study about a possible existing epidemiological relationship. Invest Ophthalmol Vis Sci. 2004;45:3903-5.
- 21. Smyk DS, Koutsoumpas AL, Mytilinaiou MG, et al. Helicobacter pylori and autoimmune disease: cause or bystander. World J Gastroenterol. 2014;20(3):613-15.
- 22. Giannouli S, Voulgarelis M. Predicting progression to lymphoma in sjögren's syndrome patients. Expert Rev Clin Immunol. 2014;10(4):501-12.
- 23. Pereira MI, Medeiros JA. Role of Helicobacter pylori in gastric mucosa-associated lymphoid tissue lymphomas. World J Gastroenterol. 2014;20(3):684-5.
- 24. Laoruangroj C, Habermann TM, Wang Y, et al. Long-term clinical outcomes of gastric mucosa-associated lymphoid tissue lymphoma in real-world experience. JCO Oncol Pract. 2024;20(8):1103-8.