Clinical Gastroenterology Vol.19 No.5(6)

Theme H.pylori Negative Upper Gastroenterological Diseases; Increasing of Their Incidence in the 21st Century
Title Reflux Esophagitis
Publish Date 2004/05
Author Tomoyuki Koike Division of Gastroenterology, Tohoku University Graduate School of Medicine
Author Shuichi Ohara Division of Gastroenterology, Tohoku University Graduate School of Medicine
Author Yoshifumi Inomata Division of Gastroenterology, Tohoku University Graduate School of Medicine
Author Katsunori Iijima Division of Gastroenterology, Tohoku University Graduate School of Medicine
Author Hitoshi Sekine Division of Gastroenterology, Tohoku University Graduate School of Medicine
Author Tooru Shimosegawa Division of Gastroenterology, Tohoku University Graduate School of Medicine
[ Summary ] We reported that the prevalence of Helicobacter pylori (H.pylori) infection and the grade of atrophic gastritis were both significantly lower, while acid secretion was significantly greater in the patients with reflux esophagitis than those without it. We also reported that increased gastric acid secretion after H.pylori eradication may explain a reason for the development of reflux esophagitis. Therefore, H.pylori is considered to be a protective factor in the development of reflux esophagitis via the induction of gastric hypose cretion.
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