2011
DOI: 10.1590/s0004-28032011000100009
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Relationship between caga-positive Helicobacter pylori infection and risk of gastric cancer: a case control study in Porto Alegre, RS, Brazil

Abstract: -Context -Gastric cancer is the second most common cause of cancer related death worldwide. Although Helicobacter pylori has been classified as a class I carcinogen, the presence of infection is not a factor that alone is able to lead to gastric cancer, and one of the possible explanations for this is the existence of different strains of H. pylori with different degrees of virulence.Objectives -To investigate the association between cagA-positive H. pylori and gastric cancer, using polymerase chain reaction (… Show more

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Cited by 16 publications
(8 citation statements)
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“…Even with no proven association between the presence of H. pylori infection and any specific symptom (18) , one could expect to find a higher prevalence of cagA-positive strains than we actually did (29.6%) considering that patients in our sample had more severe clinical presentations (11) . Previous studies with adults from southern Brazil, including from southern Brazil, including from Porto Alegre, found prevalence rates of cagA-positive infection ranging from 65% to 71% (24,26) , as well as an association between presence of this gene and duodenal ulcer (26) and gastric cancer (19) . The difference between adults and children from the same population may denote a different behavior of the infection in children (18,20,31) .…”
Section: Discussionmentioning
confidence: 94%
“…Even with no proven association between the presence of H. pylori infection and any specific symptom (18) , one could expect to find a higher prevalence of cagA-positive strains than we actually did (29.6%) considering that patients in our sample had more severe clinical presentations (11) . Previous studies with adults from southern Brazil, including from southern Brazil, including from Porto Alegre, found prevalence rates of cagA-positive infection ranging from 65% to 71% (24,26) , as well as an association between presence of this gene and duodenal ulcer (26) and gastric cancer (19) . The difference between adults and children from the same population may denote a different behavior of the infection in children (18,20,31) .…”
Section: Discussionmentioning
confidence: 94%
“…Almost certainly, these include a more varied diet and better food conservation, including refrigeration, as well as control of infection by Helicobacter pylori (H pylori) (22,23) , decreasing of risk factors exposure, such as consumption of salt and salty foods, which can lead to damage of the protective layer of the mucosa of stomach (11,22) and smoking (18) .…”
Section: Discussionmentioning
confidence: 99%
“…Helicobacter pylori ( H. pylori ) infection constitutes a public health concern in developed and developing countries [ 1 , 2 ], since it was associated with chronic gastritis, gastric and duodenal ulcers, and gastric adenocarcinoma in humans, as well as mucosa-associated lymphoid tissue lymphoma [ 3 - 6 ]. In the year 1994, the International Agency for Research on Cancer of WHO classified H. pylori as a Type I, or definite carcinogen to humans and reconfirmed this classification in 2009 [ 7 ].…”
Section: Introductionmentioning
confidence: 99%