Analysis of Eradication, Recurrence and Levels of 25-hydroxyvitamin D3 and Interleukin-1β in paediatric patients with Helicobacter Pylori Infection-related Gastritis.

Yuanda Zhang,Xu Guo,Binbin Bi,Shaohui Zhang

doi:10.12669/pjms.36.6.2292

Yuanda Zhang, Xu Guo + Show 2 more

Open Access

https://doi.org/10.12669/pjms.36.6.2292

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Abstract

Objective:To study whether the levels of 25-hydroxyvitamin D3 (25-(OH)D3) and Interleukin-1β (IL-1β) are correlated to the eradication and recurrence of helicobacter pylori (Hp) in paediatric patients with Hp infection-related gastritis.Methods:A total of 142 paediatric patients with Hp infection-related gastritis from November 2017 to March 2018 in Baoding Children’s Hospital were selected as study subjectswere selected as study subjects and were followed up for one year. Paediatric patients were grouped and analyzed according to the effect of follow-up treatment and recurrence.Results:The levels of 25-(OH) D3 in the non-eradication group were lower than those in the eradication group and the control group (F=27.087, P<0.05); the levels of IL-1β were higher than those in the eradication group and the control group (F=16.610, P<0.05). Recurrence during follow-up visits: The levels of 25-(OH) D3 in the recurrence group were lower than those in the non-recurrence group and the control group (F=33.837, P<0.05); the levels of IL-1β in the recurrence group were higher than those in the non-recurrence group and the control group (F=7.896, P<0.05). Correlation analysis showed the levels of 25-(OH) D3 and IL-1β in the eradication group and the non-eradication group were negatively correlated (r=-0.232, P<0.05); the levels of 25-(OH) D3 and IL-1β in the recurrence group and the non-recurrence group were negatively correlated (r=-0.225, P<0.05).Conclusion:Relatively high levels of IL-1β may be correlated to the difficulty in eradicating the Hp infection in paediatric patients. Relatively low levels of 25-(OH) D3 may be correlated to the difficulty in eradicating the Hp infection and recurrence in paediatric patients.

Highlights

Helicobacter pylori (Hp) infection is a main cause of chronic gastritis and duodenal ulcer in children.[1]
Sample collection 4ml of fasting venous blood was drawn in the morning before the treatment upon the first visit by the enrolled paediatric patients with Hp infection-related gastritis. 4ml fasting venous blood of healthy children was reserved in the morning
This study showed that the eradication rate of the first-line triple therapy in children in this region is 74.6%, which is consistent with the above statements

Summary

Introduction

Helicobacter pylori (Hp) infection is a main cause of chronic gastritis and duodenal ulcer in children.[1] The incidence of Hp infection in children in China is high; and its natural remission rate is low.[2] In recent years, the eradication rate of Hp infection has decreased. The eradication rate of Hp infection treated by triple therapy has been reported to be lower than 80%.3. Patients with Hp infection partially eradicated may have recurrence.

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