Purpose
To evaluate serum levels of high-sensitivity C-reactive protein (hs-CRP) in
chronic gastritis patients to predict Helicobacter pylori (HP) infection,
inflammatory activity, and precancerous lesions.
Methods
A total of 811 patients with upper gastrointestinal symptoms and
histopathological diagnosis of chronic gastritis were enrolled in the study.
On endoscopy, five gastric biopsies were taken according to Modified Sydney
protocol, which were stained with hematoxylin & eosin and Giemsa
Results
HP infection was found in 28.6% of patients, being significantly more common
in specimens with acute and chronic inflammatory activity. Mucosal atrophy,
intestinal metaplasia, and dysplasia were found in 20.2%, 18.8% and 2.7% of
biopsy specimens. Mean hs-CRP was 1.9±1.6 mg/dl for males and 2.2±1.9 mg/dl
for females. hs-CRP average were significantly higher in patients with
severe acute inflammation (p:0.049), in patients with severe chronic
inflammation (p:0.015) and in those with HP (p: 0.001) . The severity of HP
infection increased significantly with the increased degree of acute
inflammation, chronic inflammation and hs-CRP level (p=0.001 for both).
Conclusion
Serum hs-CRP level increases in patients with chronic gastritis, it could be
an indicator of severity of acute or chronic mucosal inflammation, and
presence of HP infection. Therefore, hs-CRP may aid the diagnosis of chronic
gastritis, but it is not associated with pre-cancerous lesions.