A COMPARITIVE STUDY OF INCIDENCE OF HELICOBACTER  PYLORI IN ULCER  DYSPEPSIA AND NON ULCER DYSPEPSIA

DR. HARISH S; DR. SAPNA PATEL

Volume : V, Issue : XI, November - 2015

A COMPARITIVE STUDY OF INCIDENCE OF HELICOBACTER PYLORI IN ULCER DYSPEPSIA AND NON ULCER DYSPEPSIA

Dr. Harish S, Dr. Sapna Patel

Abstract :

AIMS AND OBJECTIVES: The present study compares incidence of Helicobacter pylori between two groups: 1.Ulcer dyspepsia 2. Non ulcer dyspepsia METHODS: Total of 200 cases of dyspepsia, 100 from each group: Ulcer dyspepsia and Non ulcer dyspepsia from July 2011 to august 2013 were selected. A thorough clinical history of dyspepsia with examination of the patient was done using proforma and esophagogastroduodenoscopy was done on the selected dyspeptic patients. Biopsy was taken and sent for RAPID UREASE TEST and Histopathological examination. Reports were tabulated and results were compared using various statistical methods. RESULTS: • In this study, it was found that more number of people were positive in the age group of 41–50yrs (p value 0.008). • Gastric ulcer was the common endoscopy finding in ulcer dyspepsia patients who were positive for H.pylori infection (17%). • Incidence of Helicobacter pylori infection is similar in both ulcer (28%) and non ulcer dyspepsia (23%) groups. • Both Rapid RAPID UREASE TEST and Histopathological examination were proven equally efficacious in detecting Helicobacter pylori infection. CONCLUSION: • Totally, 200 patients with dyspepsia who underwent upper esophago–gastroduedenoscopy and biopsy were subjected to RAPID UREASE TEST and Histopathological examination. Similar statistical incidence of positive cases was found in both ulcer dyspepsia(28%) and non ulcer dyspepsia (23%) groups. • Both RAPID UREASE TEST and Histopathological examination of biopsy specimen had similar results for Helicobacter pylori, proving both tests are good for diagnosing Helicobacter pylori infections. • In this study we found that it is better to consider treating non ulcer dyspepsia patients for Helicobacter pylori, as prevalence of Helicobacter pylori is similar in both ulcer dyspepsia (28%) and non ulcer dyspepsia (23%) groups.