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Gastric Cancer

, Volume 4, Issue 2, pp 87–92 | Cite as

Prevalence of Helicobacter pylori infection in gastric remnant after distal gastrectomy for primary gastric cancer

  • Naoyoshi Onoda
  • Kiyoshi Maeda
  • Tetsuji Sawada
  • Kenichi Wakasa
  • Tetsuo Arakawa
  • Kosei Hirakawa-Yong-Suk Chung
Original article

Abstract

Background. The development of a second primary cancer in the gastric remnant after gastrectomy for early gastric carcinoma is a problem, and eradication of Helicobacter pylori after the operation has been recommended. However, to date, practical indications for H. pylori eradication after gastric cancer surgery have not yet been reported.

Methods. We examined H. pylori infection in the gastric remnant after distal gastrectomy for primary gastric cancer. One hundred and nine patients who had had a gastrectomy were studied. Endoscopic findings and results from the urease test, bacteriologic assessment, serological test, and histopathological examination were analyzed.

Results. Seventy-one patients (65.1%) were judged to be positive for H. pylori infection. The prevalence of H. pylori infection was found to be significantly decreased in older patients, patients in whom the operation had been performed a long time before examination, patients with symptoms, and patients with severe reflux gastritis. On the other hand, histologically, chronic and acute gastritis correlated significantly with H. pylori infection. H. pylori prevalence was highest in mildly atrophic mucosa and decreased with more extensive atrophic changes of the mucosa.

Conclusions. The persistence of H. pylori -related active gastritis in the gastric remnant after gastric cancer surgery was suggested in younger patients with mild atrophic gastritis and without reflux gastritis. These patients may be the best candidates for H. pylori eradication therapy.

Key wordsHelicobacter pylori Gastric remnant Gastric cancer Second primary cancer development 

Copyright information

© International and Japanese Gastric Cancer Associations 2001

Authors and Affiliations

  • Naoyoshi Onoda
    • 1
  • Kiyoshi Maeda
    • 2
  • Tetsuji Sawada
    • 2
  • Kenichi Wakasa
    • 3
  • Tetsuo Arakawa
    • 4
  • Kosei Hirakawa-Yong-Suk Chung
    • 2
  1. 1.Department of Oncology, Institute of Geriatrics and Medical Science, Osaka City University Graduate School of Medicine, 1-4-3, Asahi-machi, Abeno-ku, Osaka 545-8585, JapanJP
  2. 2.Department of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka, JapanJP
  3. 3.Department of Pathology, Osaka City University Hospital, Osaka, JapanJP
  4. 4.Department of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka JapanJP

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