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INCIDENCE OF Helicobacter pylori IN PATIENTS WITH GASTRITIS GUIDED BY:- Dr. Girish D. Bakhshi ASSOCIATE PROFESSOR DEPARTMENT OF SURGERY, GRANT MEDICAL COLLEGE PRESENTATION BY:- Sarvodayai Sinha III/III MBBS GRANT MEDICAL COLLEGE
Is Gastritis becoming a common problem?	 Ref: National Institute of  Diabetes and Digestive and Kidney Diseases
HISTORY
HISTORY     J. Robin Warren and Barry Marshall(1982) discovered the association of Helicobacter pylori with gastritis and peptic ulcers. Ref:  Marshall & Barry,  “Helicobacter Pioneers”
     MATERIALS & METHODS Sample size = 50 patients. Total duration = 3 months.  Approved by Institutional Ethics Committee (IEC).
INCLUSION CRITERIA Heartburn  Water brash Nausea/Vomiting
EXCLUSION CRITERIA Patients < 18 years of age. Pregnant women. Patients on NSAIDs. Patients on AKT.
EXCLUSION CRITERIA Systemic illness like DM/IHD/HTN. Complications of ulcer. Previous acid lowering surgery/oesophagus surgery.
 MATERIALS & METHODS Endoscopy  performed after the prior consent. Extraction of gastric antral tissue. CLO(Campylobacter Like Organisms) test performed.
 MATERIALS & METHODS Duration of observation : 48 hours. Comparison with the histopathological report. Patients administered with drugs.
STATISTICAL ANALYSIS PLAN Chi square test with Yates’ correction.
OBSERVATIONS & RESULTS 21/50 patients positive for the H.pylori test;           incidence = 42% Colour of the PYLOTEST kit:  yellowpinkH.pylori  present
NEGATIVE POSITIVE
SEX DISTRIBUTION
APPROACH TO GASTRITIS PATIENTS
Anti H.pylori regimen Clarithromycin        500 mg Pantoprazole              40 mg Amoxicillin               750 mg Twice daily (morning &  evening) for 14 days
CHI SQUARE TEST RESULT Using the formula of Chi square test with Yates’ correction :-   where      O = observed value                                           E = expected value 				        df = degree of freedom Ref:  Yates F (1934);"Contingency table involving small numbers and the χ2 test",              Journal of  the Royal Statistical Society
CHI SQUARE TEST RESULT At p=0.05 (Fischer’s table) ;  On calculation; Corresponding p value = 0.017 (<0.05)
CONCLUSION Significant association of Helicobacter pylori with gastritis.  Consistency of CLO test (pylotest)being consistent with histopathologic studies. Anti-H.pylori regimen being more promising than the proton-pump inhibitors alone.
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INCIDENCE OF HELICOBACTER PYLORI IN PATIENTS WITH GASTRITIS

  • 1. INCIDENCE OF Helicobacter pylori IN PATIENTS WITH GASTRITIS GUIDED BY:- Dr. Girish D. Bakhshi ASSOCIATE PROFESSOR DEPARTMENT OF SURGERY, GRANT MEDICAL COLLEGE PRESENTATION BY:- Sarvodayai Sinha III/III MBBS GRANT MEDICAL COLLEGE
  • 2. Is Gastritis becoming a common problem? Ref: National Institute of Diabetes and Digestive and Kidney Diseases
  • 4. HISTORY J. Robin Warren and Barry Marshall(1982) discovered the association of Helicobacter pylori with gastritis and peptic ulcers. Ref: Marshall & Barry, “Helicobacter Pioneers”
  • 5.
  • 6. MATERIALS & METHODS Sample size = 50 patients. Total duration = 3 months. Approved by Institutional Ethics Committee (IEC).
  • 7. INCLUSION CRITERIA Heartburn Water brash Nausea/Vomiting
  • 8. EXCLUSION CRITERIA Patients < 18 years of age. Pregnant women. Patients on NSAIDs. Patients on AKT.
  • 9. EXCLUSION CRITERIA Systemic illness like DM/IHD/HTN. Complications of ulcer. Previous acid lowering surgery/oesophagus surgery.
  • 10. MATERIALS & METHODS Endoscopy performed after the prior consent. Extraction of gastric antral tissue. CLO(Campylobacter Like Organisms) test performed.
  • 11. MATERIALS & METHODS Duration of observation : 48 hours. Comparison with the histopathological report. Patients administered with drugs.
  • 12. STATISTICAL ANALYSIS PLAN Chi square test with Yates’ correction.
  • 13. OBSERVATIONS & RESULTS 21/50 patients positive for the H.pylori test; incidence = 42% Colour of the PYLOTEST kit: yellowpinkH.pylori present
  • 15.
  • 16.
  • 19. Anti H.pylori regimen Clarithromycin 500 mg Pantoprazole 40 mg Amoxicillin 750 mg Twice daily (morning & evening) for 14 days
  • 20.
  • 21. CHI SQUARE TEST RESULT Using the formula of Chi square test with Yates’ correction :- where O = observed value E = expected value df = degree of freedom Ref: Yates F (1934);"Contingency table involving small numbers and the χ2 test", Journal of the Royal Statistical Society
  • 22. CHI SQUARE TEST RESULT At p=0.05 (Fischer’s table) ; On calculation; Corresponding p value = 0.017 (<0.05)
  • 23. CONCLUSION Significant association of Helicobacter pylori with gastritis. Consistency of CLO test (pylotest)being consistent with histopathologic studies. Anti-H.pylori regimen being more promising than the proton-pump inhibitors alone.