1990
DOI: 10.1002/path.1711620310
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Helicobacter pylori infection of gastric mucin cell metaplasia: The duodenum revisited

Abstract: The histological material of 158 Billroth II gastrectomy specimens, used for a former study that established a relationship between duodenal ulcers and the presence of gastric metaplastic epithelium in the duodenal bulb, was reinvestigated for the presence of Helicobacter pylori. The results show that in all duodenal ulcer patients with gastric mucin cell metaplasia H. pylori colonized the metaplastic epithelium accompanied by an inflammatory response. The intestinal mucosa was always negative for H. pylori. H… Show more

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Cited by 18 publications
(8 citation statements)
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“…Thus, our adhesive strains may adhere to human gastric antral epithelial cells but not to fundic cells. This putative target cell specificity corresponds well to the fact that H. pylon is often observed to adhere to the antral epithelium of human stomach and the gastric metaplasia in the duodenum (17,26,30,33). Thus, the primary colonization site ofH.…”
Section: Discussionsupporting
confidence: 72%
See 1 more Smart Citation
“…Thus, our adhesive strains may adhere to human gastric antral epithelial cells but not to fundic cells. This putative target cell specificity corresponds well to the fact that H. pylon is often observed to adhere to the antral epithelium of human stomach and the gastric metaplasia in the duodenum (17,26,30,33). Thus, the primary colonization site ofH.…”
Section: Discussionsupporting
confidence: 72%
“…Helicobacter pyloni is a microaerophilic spiral bacterium that was isolated from the gastric mucosa of patients with chronic gastritis in 1983 (36). H. pylori colonizes the gastric epithelial cell surface of the human stomach and the gastric metaplasia in the duodenum (17,26,30,33). Infection by this organism is very common in the human population.…”
mentioning
confidence: 99%
“…All strains consistently showed adhesion to human SMC while only one strain showed additional adhesion to bovine SMC. Outside the stomach, H. pylori has been found only in gastric metaplastic or heterotopic tissue, [1][2][3][4]6]. These cells are not related to the tissue which is infected by the bacteria in vivo.…”
Section: H Pylori Adhesion To Smc 457 Discussionmentioning
confidence: 99%
“…Mounting epidemiological evidence implicates chronic H. pylon gastritis in the development of gastric and duodenal ulcer disease (1,22,32,36,50) and also gastric carcinoma (10,29). H. pylon infection has a worldwide distribution; it is more prevalent in developing countries and in economically disadvantaged people in more developed countries (5,17,39).…”
mentioning
confidence: 99%
“…H. pylon infection has a worldwide distribution; it is more prevalent in developing countries and in economically disadvantaged people in more developed countries (5,17,39). Although little is known about the mechanism(s) by which H. pylon infection leads to gastroduodenal disease, it has been shown that this microaerophilic organism preferentially adheres to and colonizes mucus-secreting gastric epithelial cells (1,5,20,32,36). Like other bacteria which colonize mucosal epithelia, H. pylon adheres to sialic acidrich macromolecules that are exposed on the mucosal cell membrane (6).…”
mentioning
confidence: 99%