Analysis of Helicobacter pylori positiveness and upper gastrointestinal system endoscopy results of Yozgat region in Turkey

Abstract

Aims: The aim of this study is to analyze the endoscopy and pathology results of patients who underwent endoscopy in Yozgat region, to determine the frequency of Helicobacter pylori (H. pylori) positivity and to compare the results with the data in the literature.
 Material and Method: Among the patients who applied to our clinic for any reason between 01/01/2019 and 31/12/2019, 772 patients who underwent upper gastrointestinal system endoscopy were included in the study and analyzed retrospectively.
 Results: The mean age of the patients was 50±16.78 (16–89). 61.3% (n=473) of the patients were female; 38.7% (n=299) were male. When gastroscopic diagnoses were evaluated, the rate of patients reported as "normal upper gastrointestinal endoscopy" was found to be 5.2% (n= 40). The most frequently reported diagnosis was “nonerosive gastritis” with a rate of 59.2% (n=457). Biopsy was obtained in 646 of 772 patients. The most common diagnosis was reported as “chronic active gastritis” with 90.6% (n=585). 626 of the patients had H. pylori pathological evaluation results. While 18.7% (n=117) of the patients were found to be H. pylori negative, 81.3% (n=509) were found to be H. pylori positive. Stomach cancer was found to be 1.3% (n=9) and esophageal cancer was found to be 0.1% (n=1).
 Conclusion: In the Yozgat region, the frequency of H. pylori positivity was found to be 81.3%, and it is often mildly (+) positive. In addition, the frequency of H. pylori positivity was similar between men and women, consistent with the literature. The most common diagnosis was reported as "chronic active gastritis". While stomach cancer was detected at a rate of 1.3%, esophageal cancer was found at a rate of 0.1%.