The Effect of <em>Helicobacter Pylori</em> Eradication in Benign Gastric Polyps: A Preliminary Study

Original

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2005;5(1):6-13.
Published online June 1, 2005.

The Effect of Helicobacter Pylori Eradication in Benign Gastric Polyps: A Preliminary Study

양성 위용종에서 Helicobacter pylori 제균치료 효과: 예비연구

김규원·김지현·윤영훈·이용찬·정재복·전재윤·문영명·박영년*

연세대학교 의과대학 내과학교실, *소화기병연구소, 병리학교실

Abstract

Background/Aims: Evidence in the West indicates that eradication of Helicobacter pylori may lead to the disappearance of hyperplastic polyp in the stomach. However, there is limited data on the efficacy of H.pylori eradication for gastric polyp in Korea. We conducted a prospective study to evaluate whether benign gastric polyps would be changed in size after eradication of H.pylori. Methods: We enrolled 34 patients (11 men and 23 women) with H.pylori infection and benign gastric polyps diagnosed by endoscopic exam. Patients received a 7 days regimen of proton pump inhibitor, amoxicillin and clarithromycin for eradication and underwent following-up endoscopy for change of gastric polyp size in regular interval. Results: H. pylori was successfully eradicated without serious side effects in 31 of 34 patients (91.9%), and average size of gastric polyp decreased significantly between before and after H.pylori eradication (7.3 mm vs 3.6 mm p＜0.05). The polyps had disappeared completely in 12 patients (complete response, 35.2%) and regressed in 16 (partial response, 47.1%) of the 34 patients. Therefore response rate of gastric polyp after H. pylori eradication was 82.3%. Conclusions: Most benign gastric polyps disappeared or regressed after eradication of H.pylori. Thus, H. pylori eradication can be considered instead of endoscopic treatment in patients with benign gastric polyps and H. pylori infection. (The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2005;5:6-11)

Key Words: Helicobacter pylori, Eradication, Gastric polyp