Research Article

Helicobacter Pylori Might be a Contributing Factor in Gallbladder Polyps or Gallstones: A Single Center Case-Control Matching Study of Turkish İndividuals

Volume: 15 Number: 4 October 1, 2024
EN

Helicobacter Pylori Might be a Contributing Factor in Gallbladder Polyps or Gallstones: A Single Center Case-Control Matching Study of Turkish İndividuals

Abstract

Background/Purpose: In recent studies, Helicobacter pylori (Hp) infection; It was stated that it may be associated with diseases such as obesity, diabetes, chronic obstructive pulmonary disease and kidney failure. In our study, we aimed to examine the relationship between Hp infection and gallstones and gallbladder polyps. Methods: Patients who underwent elective cholecystectomy between January 2017 and December 2021 were retrospectively examined. Patients were divided into those with only polyps in the gallbladder (Group P), those with polyps and stones together (Group SP), and those with only stones (Group S). The control group consisted of patients who underwent gastroscopy due to dyspeptic complaints (Group No). The groups were screened for the presence of Helicobacter pylori. Demographic data, comorbidities, presence of hepatosteatosis and laboratory values were recorded and compared. Results: 244 patients were included in the study. HP was positive in 141 (57.8%) of the patients and negative in 103 (42.2%). There were 58 (23.8%) patients in Group P, 22 (9%) in Group SP, 90 (36.9%) in Group S, and 74 (30.3%) in Group No. There was a significant difference in age between Group P and Group No (P = 0.012). Female gender was significantly higher in Group S (P=0.009). Helicobacter pylori positivity rate was significantly higher in Group P and Group SP (P = 0.012). Conclusion: HP infection may be associated with gallbladder polyps. We recommend that prospective randomized controlled studies be supported by large sample data.

Keywords

Ethical Statement

Ethical approval for the study was granted by the hospital in which the procedures were performed (IRB No: KAEK/2024.04.73).

References

  1. 1. Eusebi LH, Zagari RM, Bazzoli F. Epidemiology of Helicobacter pylori infection. Helicobacter. 2014 Sep;19 Suppl 1:1-5. doi: 10.1111/hel.12165.
  2. 2. Ozaydin N, Turkyilmaz SA, Cali S. Prevalence and risk factors of Helicobacter pylori in Turkey: a nationally-representative, cross-sectional, screening with the ¹³C-Urea breath test. BMC Public Health. 2013 Dec 21;13:1215. doi: 10.1186/1471-2458-13-1215.
  3. 3. Xu MY, Cao B, Yuan BS, et al. Association of anaemia with Helicobacter pylori infection: a retrospective study. Sci Rep. 2017 Oct 18;7(1):13434. doi: 10.1038/s41598-017-13955-3.
  4. 4. Chen YY, Fang WH, Wang CC, et al. Helicobacter pylori infection increases risk of incident metabolic syndrome and diabetes: A cohort study. PLoS One. 2019 Feb 19;14(2):e0208913. doi: 10.1371/journal.pone.0208913.
  5. 5. Wang JW, Hsu CN, Tai WC, et al. The Association of Helicobacter pylori Eradication with the Occurrences of Chronic Kidney Diseases in Patients with Peptic Ulcer Diseases. PLoS One. 2016 Oct 20;11(10):e0164824. doi: 10.1371/journal.pone.0164824.
  6. 6. Terada T. Histopathologic features and frequency of gall bladder lesions in consecutive 540 cholecystectomies. Int J Clin Exp Pathol. 2013;6(1):91-6. Epub 2012 Nov 20.
  7. 7. Abdullah AAN, Rangaraj A, Rashid M, et al. Gallbladder polypoid lesions are inaccurately reported and undermanaged: a retrospective study of the management of gallbladder polypoid lesions detected at ultrasound in symptomatic patients during a 36-month period. Clin Radiol. 2019 Jun;74(6):489.e17-489.e23. doi: 10.1016/j.crad.2019.02.009.
  8. 8. Foley KG, Lahaye MJ, Thoeni RF, et al. Management and follow-up of gallbladder polyps: updated joint guidelines between the ESGAR, EAES, EFISDS and ESGE. Eur Radiol. 2022 May;32(5):3358-3368. doi: 10.1007/s00330-021-08384-w.

Details

Primary Language

English

Subjects

Surgery (Other) , Gastroenterology and Hepatology

Journal Section

Research Article

Early Pub Date

September 17, 2024

Publication Date

October 1, 2024

Submission Date

June 5, 2024

Acceptance Date

August 26, 2024

Published in Issue

Year 2024 Volume: 15 Number: 4

EndNote
Özkan C, Yılmaz S, Bozdağ E, Sıbıç O, Somuncu E (October 1, 2024) Helicobacter Pylori Might be a Contributing Factor in Gallbladder Polyps or Gallstones: A Single Center Case-Control Matching Study of Turkish İndividuals. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 15 4 374–379.

Cited By