THE ROLE OF HELICOBACTER PYLORI IN DISPEPTIC COMPLAINTS AFTER BILATERAL TRUNKAL VAGOTOMY + PYLOROPLASTY
NESİMİ BARUK1, CİHAN YILDIRIR1, M ŞEHSUVAR GÖKGÖZ1, BAHATTİN DALKILIÇ1, TURGUT CERAN1, REYHAN EĞİLMEZ2
1Cumhuriyet Üniversitesi Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, SİVAS
2Cumhuriyet Üniversitesi Tıp Fakültesi, Patoloji Anabilim Dalı, SİVAS
Abstract
In this study the role of HP in dispeptic complaints after BTV+P, of the patients who had undergone BTV+P surgery due to duodenal ulcer have been investigated. The study has included a total of 47 patients; 22 patients had dispeptic complaints (Study group) and 25 patients were without complaints (Control group). All the patients were examined by gastroscopy and biopsies were taken. HP has been looked lor in all biopsies. The mean age of the study group was 55, and of control group 51. Female/male ratios were 3/19 and 4/21 respectively. While no HP was found in the control group, it was found out to be as 36.3 % in the study group (p <0.001). A triple therapy of Bishmut + Amocicillin + Ornidazol were performed on patients with HP (+) and 100% eradication was maintained. After eradication 62% of the HP (+) patients have shovm clinical recovery. Histopathologic change did not take place. This study makes us think that HP could be an important factor in dispeptic complaints after BTV+P.
Keywords: VAGOTOMY, PYLOROPLASTY, DYSPEPSIA, HELICOBACTER PYLORI