1993
DOI: 10.1097/00008469-199307000-00006
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Prevalence of Helicobacter pylori infection in patients with precancerous changes and gastric cancer

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Cited by 45 publications
(26 citation statements)
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“…Secondly, because the data of H. pylori infection was not available among cases, it is difficult for us to adjust the potential confounding bias from H. pylori infection. However, it is difficult to measure H. pylori infection in gastric cancer patients because the loss of H. pylori from the stomach and reduced immune response occurs during gastric carcinogenesis (Karnes et al, 1991;Farinati et al, 1993). Thus, a prospective study should be further conducted for concomitant analysis of the genetic susceptibility and exposure to H. pylori.…”
Section: Discussionmentioning
confidence: 99%
“…Secondly, because the data of H. pylori infection was not available among cases, it is difficult for us to adjust the potential confounding bias from H. pylori infection. However, it is difficult to measure H. pylori infection in gastric cancer patients because the loss of H. pylori from the stomach and reduced immune response occurs during gastric carcinogenesis (Karnes et al, 1991;Farinati et al, 1993). Thus, a prospective study should be further conducted for concomitant analysis of the genetic susceptibility and exposure to H. pylori.…”
Section: Discussionmentioning
confidence: 99%
“…[62][63][64] Loss of H. pylori antibodies is particularly relevant in the gastric cancer cases, where extensive gastric atrophy, a precursor of gastric cancer, may lead to a declining prevalence of active infection as the progressively damaged gastric mucosa becomes a less supportive environment for H. pylori. [65][66][67] It is possible that this process may also contribute to an underestimation of an original CagA positive infection, but that this underestimate is smaller due to longer persistence of CagA antibodies. In such a case, the associations that we detected may be conservative.…”
Section: Discussionmentioning
confidence: 99%
“…Third, H. pylori infection is a wellknown cause of non-cardia gastric cancer and has been suggested to influence the expression of MUC5AC (Kocer et al, 2004). However, it is difficult to measure H. pylori infection in gastric cancer patients because the loss of H. pylori from the stomach and reduced immune response occurs during gastric carcinogenesis (Karnes et al, 1991;Farinati et al, 1993). Lack of available information on H. pylori infection status in our study limited us to adjust the potential confounding bias of this risk factor.…”
Section: Discussionmentioning
confidence: 92%