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LETTER TO EDITOR
Year : 2014  |  Volume : 3  |  Issue : 4  |  Page : 477  

Helicobacter pylori : A common infection


1 Department of Pathology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India
2 Department of Surgical Oncology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India
3 Department of Surgical Gastroenterology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India

Date of Web Publication31-Dec-2014

Correspondence Address:
Rashmi Patnayak
Department of Pathology, Sri Venkateswara Institute of Medical Sciences, Tirupati - 517 507, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2249-4863.148160

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How to cite this article:
Patnayak R, Jena A, Reddy VR. Helicobacter pylori : A common infection. J Family Med Prim Care 2014;3:477

How to cite this URL:
Patnayak R, Jena A, Reddy VR. Helicobacter pylori : A common infection. J Family Med Prim Care [serial online] 2014 [cited 2019 May 24];3:477. Available from: http://www.jfmpc.com/text.asp?2014/3/4/477/148160

Dear Editor,

We read with interest the review article 'Helicobacter pylori infection among patients with upper gastrointestinal symptoms: Prevalence and relation to endoscopy diagnosis and histopathology' by Shrestha et al. [1]

In our study from a tertiary care in South India, we had noted H. pylori positivity in 62% cases of gastritis by using different staining methods like modified Giemsa, Warthin starry, immunohistochemistry apart from routine Hematoxylin and eosin (H and E). [2] Since the authors have not mentioned, we presume that the detection rate referred by them is from H and E stain. Similar to this study, in our study there was not much difference between male and female gender, the ratio being 1.2:1. Our study group has mean age of 47.2 years. [2],[3]

Another recently published article by Rizwan et al. has highlighted the epidemiology and pattern of antibiotic resistance in H. pylori in Saudi Arabia. [4] They have opined that in developing countries H. pylori infection is more prevalent in children as compared to adults. Majority of cases in our study groups were adults. In the further follow-up period of our cases, which ranged from 1 to 5 years, we did not encounter any other malignancies like gastric adenocarcinoma or lymphoma in these cases. [2]

We agree with the message given by the authors that the prevalence of H. pylori infection is high and we would like to add that in selected cases like unexplained gastritis and patients with previous history of antibiotic use, immunohistochemistry may help to improve the detection rare.

 
  References Top

1.
Shrestha R, Koirala K, Raj KC, Batajoo KH. Helicobacter pylori infection among patients with upper gastrointestinal symptoms: Prevalence and relation to endoscopy diagnosis and histopathology. J Family Med Prim Care 2014;3:154-8.  Back to cited text no. 1
    
2.
Patnayak R, Reddy V, Jena A, Rukmangadha N, Parthasarathy S, Reddy MK. Utility of immunohistochemistry in demonstrating Helicobacter pylori. Oncol Gastroenterol Hepatol Rep 2015;4:4-7.  Back to cited text no. 2
    
3.
Patnayak R, Jena A, Reddy V, Asha T. Helicobacter pylori - Indian Perspective. Saudi J Gastroenterol [In Press].  Back to cited text no. 3
    
4.
Rizwan M, Fatima N, Alvi A. Epidemiology and pattern of antibiotic resistance in Helicobacter pylori: Scenario from Saudi Arabia. Saudi J Gastroenterol 2014;20:212-8.  Back to cited text no. 4
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