Helicobacter pylori infection increases the risk of colorectal adenoma and adenocarcinoma, especially in women.

Background: Recent reports suggest that Helicobacter pylori infection can potentially increase the risk of colorectal cancer. The purpose of this study was to assess the association between H. pylori infection and the risk of colorectal adenoma and adenocarcinoma, and to evaluate any differences on...

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Publicado en:Journal of Gastroenterology Vol. 40; no. 9; pp. 887 - 894
Autores principales: Fujimori S, Kishida T, Kobayashi T, Sekita Y, Seo T, Nagata K, Tatsuguchi A, Gudis K, Yokoi K, Tanaka N, Yamashita K, Tajiri T, Ohaki Y, Sakamoto C, Fujimori, Shunji, Kishida, Teruyuki, Kobayashi, Tsuyoshi, Sekita, Yoshihisa, Seo, Tsuguhiko, Nagata, Kazuhiro
Formato: research tables/charts Journal Article
Publicado: Springer Nature Sep2005
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2005
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00535-005-1649-1
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        atl: Helicobacter pylori infection increases the risk of colorectal adenoma and adenocarcinoma, especially in women.
      aug:
        au:
          Fujimori S
          Kishida T
          Kobayashi T
          Sekita Y
          Seo T
          Nagata K
          Tatsuguchi A
          Gudis K
          Yokoi K
          Tanaka N
          Yamashita K
          Tajiri T
          Ohaki Y
          Sakamoto C
          Fujimori, Shunji
          Kishida, Teruyuki
          Kobayashi, Tsuyoshi
          Sekita, Yoshihisa
          Seo, Tsuguhiko
          Nagata, Kazuhiro
        affil: Third Department of Internal Medicine, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
      sug:
        subj:
          Adenocarcinoma Etiology
          Adenoma Etiology
          Colorectal Neoplasms Etiology
          Helicobacter Infections Complications
          Helicobacter Pylori
          Adenocarcinoma Epidemiology
          Adenocarcinoma Risk Factors
          Adenoma Epidemiology
          Adenoma Risk Factors
          Adult
          Aged
          Aged, 80 and Over
          Case Control Studies
          Colorectal Neoplasms Epidemiology
          Colorectal Neoplasms Risk Factors
          Data Analysis, Statistical
          Descriptive Statistics
          Epidemiological Research
          Female
          Japan
          Male
          Middle Age
          Prevalence
          Human
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: Background: Recent reports suggest that Helicobacter pylori infection can potentially increase the risk of colorectal cancer. The purpose of this study was to assess the association between H. pylori infection and the risk of colorectal adenoma and adenocarcinoma, and to evaluate any differences on the basis of sex.Methods: The subjects were 669 (40- to 80-year-old) patients who underwent both barium enema examination and total colonoscopy, and who were evaluated for H. pylori infection by (13)C-urea breath test, urease test, or histological diagnosis of biopsied gastric specimens. There were 142 H. pylori-negative and 527-positive patients. The odds ratios (ORs) for H. pylori-positive patients with colorectal adenoma and adenocarcinoma, and for tumor patients with either adenoma or adenocarcinoma were calculated.Results: Among the H. pylori-negative patients, there were 52 patients without tumor, 63 with adenoma, 27 with adenocarcinoma, and 90 with tumor. Among the H. pylori-positive patients, there were 136, 264, 127, and 391 patients respectively. Pooling all subjects, those infected with H. pylori had a significantly increased OR for adenoma, adenocarcinoma, or tumor, compared to H. pylori-free patients (OR, 1.60, 1.80, and 1.66, respectively). For female H. pylori-positive subjects, the risk of having adenocarcinoma or tumor was significantly higher than that for their H. pylori-free counterparts, while for male H. pylori-positive and -negative subjects, there was no such significant difference.Conclusions: The results therefore suggest that, in patients aged 40-80 years, H. pylori infection increased the risk of colorectal adenoma and adenocarcinoma, with significantly higher risks for female patients.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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