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Combination of Triple Therapy and Chronic PPI Use May Decrease Risk of Colonic Adenomatous Polyps in Helicobacter pylori Infection
Joint Authors
Zuniga, Rina
Bautista, Josef
Sapra, Katherine
Westerfield, Keith
Williams, Susan
Sy, Alexander M.
Source
Gastroenterology Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-05-12
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Aim.
The aim of the paper is to determine association between H.
pylori and colonic adenomatous polyps and to explore whether treatment or chronic PPI use can mitigate this risk.
Methods.
This case-control study included 943 patients who had H.
pylori testing and underwent colonoscopy.
Presence of polyps was the outcome of interest, whereas age, sex, race, H.
pylori infection, triple therapy, and chronic PPI use were independent variables.
Multivariate regression analysis was used to calculate odds ratios at 95% confidence intervals.
This study was approved by the New York Medical College Institutional Review Board.
Results.
H.
pylori was associated with increased odds of colonic adenomatous polyps (adjusted OR 1.43, 95% CI 1.04–1.77), with stronger association among patients older than 50 (OR 1.65, 95% CI 1.18–2.33).
Triple therapy (OR 0.69, 95% CI 0.44–1.07) or chronic PPI use (OR 0.69, 95% CI 0.43–1.09) decreased odds of polyp formation.
Analysis revealed a statistically significant reduction in patients who received both triple therapy and chronic PPI, lowering the odds by 60% (adjusted OR 0.43, 95% CI 0.27–0.67).
Conclusion.
There is increased risk of colonic adenomatous polyps among H.
pylori-infected patients.
Triple therapy or chronic PPI use may mitigate this risk, with further reduction when these two interventions are combined.
American Psychological Association (APA)
Zuniga, Rina& Bautista, Josef& Sapra, Katherine& Westerfield, Keith& Williams, Susan& Sy, Alexander M.. 2015. Combination of Triple Therapy and Chronic PPI Use May Decrease Risk of Colonic Adenomatous Polyps in Helicobacter pylori Infection. Gastroenterology Research and Practice،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1064074
Modern Language Association (MLA)
Zuniga, Rina…[et al.]. Combination of Triple Therapy and Chronic PPI Use May Decrease Risk of Colonic Adenomatous Polyps in Helicobacter pylori Infection. Gastroenterology Research and Practice No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1064074
American Medical Association (AMA)
Zuniga, Rina& Bautista, Josef& Sapra, Katherine& Westerfield, Keith& Williams, Susan& Sy, Alexander M.. Combination of Triple Therapy and Chronic PPI Use May Decrease Risk of Colonic Adenomatous Polyps in Helicobacter pylori Infection. Gastroenterology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1064074
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1064074