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KMID : 1188320160100050719
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Gut and Liver
2016 Volume.10 No. 5 p.719 ~ p.725
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Long-Term Recurrence Rates of Peptic Ulcers without Helicobacter pylori
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Seo Jae-Hyun
Hong Su-Jin
Kim Jie-Hyun
Kim Byung-Wook
Jee Sam-Ryong
Chung Woo-Chul
Shim Ki-Nam
Baik Gwang-Ho
Kim Sung-Soo
Kim Sang-Gyun
Kim Jin-Il
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Abstract
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Background/Aims:The purpose of this study is to investigate the recurrence rate of peptic ulcer disease (PUD) over a long follow-up period with PUD patients without Helicobacter pylori.
Methods:We retrospectively reviewed patients diagnosed with PUD on endoscopy and divided them into two groups: a H. pylori-negative group (HP-negative group), and a group of patients with untreated H. pylori (HP noneradicated group). We compared the recurrence rates of PUD in these two groups and analyzed the factors that affected ulcer recurrence.
Results:Total of nine hospitals in Korea participated, and a total of 1,761 patients were retrospectively reviewed. The HP-negative group included 553 patients, and the HP noneradicated group included 372 patients. The 5-year cumulative probabilities of PUD recurrence were 36.4% in the HP-negative group and 43.8% in the HP noneradicated group (p=0.113). The factors that were found to affect recurrence in the HP-negative group were elder, male, and comorbid chronic kidney disease.
Conclusions:The 5-year cumulative probability of PUD recurrence without H. pylori infection after a long-term follow-up was 36.4% and the factors that affected recurrence were elder, male, and comorbid chronic kidney disease.
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KEYWORD
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Natural course, Helicobacter negative, Peptic ulcer disease
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