Helicobacter pylori Infection in Gastroesophageal Reflux Disease in the Asian Countries

Helicobacter pylori infection, a common infection in many countries, is related to the clinical course of upper gastrointestinal diseases. Gastroesophageal reflux disease (GERD) is a common esophageal disease in Western countries and its prevalence is increasing in Asian countries. The pathophysiolo...

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Main Authors: Su Jin Hong, Sang Woo Kim
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2015/985249
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author Su Jin Hong
Sang Woo Kim
author_facet Su Jin Hong
Sang Woo Kim
author_sort Su Jin Hong
collection DOAJ
description Helicobacter pylori infection, a common infection in many countries, is related to the clinical course of upper gastrointestinal diseases. Gastroesophageal reflux disease (GERD) is a common esophageal disease in Western countries and its prevalence is increasing in Asian countries. The pathophysiology of GERD is multifactorial. Although no single factor has been isolated as the cause of GERD, a negative association between the prevalence of H. pylori and the severity of GERD, including Barrett’s esophagus, has been demonstrated in epidemiological studies. The high prevalence of H. pylori infection affects the incidence of GERD in Asian countries. In the subjects with East Asian CagA-positive strains, acid injury may be minimized by hypochlorhydria from pangastritis and gastric atrophy. Additionally, host genetic factors may affect the development of GERD. The interactions between genetic factors and the virulence of H. pylori infection may be the reason for the low prevalence of GERD in Asian countries. H. pylori eradication is not considered pivotal in GERD exacerbation based on evidence from Western studies. A recent meta-analysis demonstrated that eradication therapy of H. pylori was related to a higher risk of developing de novo GERD in Asian studies. H. pylori infection remains an inconclusive and important issue in GERD in Asian countries.
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spelling doaj-art-989fa35f66df4832a9089e0af0b5b7c02025-02-03T05:52:08ZengWileyGastroenterology Research and Practice1687-61211687-630X2015-01-01201510.1155/2015/985249985249Helicobacter pylori Infection in Gastroesophageal Reflux Disease in the Asian CountriesSu Jin Hong0Sang Woo Kim1Digestive Disease Center and Research Institute, Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon, Republic of KoreaDepartment of Internal Medicine, Gastrointestinal Center, Medical College, Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 137-701, Republic of KoreaHelicobacter pylori infection, a common infection in many countries, is related to the clinical course of upper gastrointestinal diseases. Gastroesophageal reflux disease (GERD) is a common esophageal disease in Western countries and its prevalence is increasing in Asian countries. The pathophysiology of GERD is multifactorial. Although no single factor has been isolated as the cause of GERD, a negative association between the prevalence of H. pylori and the severity of GERD, including Barrett’s esophagus, has been demonstrated in epidemiological studies. The high prevalence of H. pylori infection affects the incidence of GERD in Asian countries. In the subjects with East Asian CagA-positive strains, acid injury may be minimized by hypochlorhydria from pangastritis and gastric atrophy. Additionally, host genetic factors may affect the development of GERD. The interactions between genetic factors and the virulence of H. pylori infection may be the reason for the low prevalence of GERD in Asian countries. H. pylori eradication is not considered pivotal in GERD exacerbation based on evidence from Western studies. A recent meta-analysis demonstrated that eradication therapy of H. pylori was related to a higher risk of developing de novo GERD in Asian studies. H. pylori infection remains an inconclusive and important issue in GERD in Asian countries.http://dx.doi.org/10.1155/2015/985249
spellingShingle Su Jin Hong
Sang Woo Kim
Helicobacter pylori Infection in Gastroesophageal Reflux Disease in the Asian Countries
Gastroenterology Research and Practice
title Helicobacter pylori Infection in Gastroesophageal Reflux Disease in the Asian Countries
title_full Helicobacter pylori Infection in Gastroesophageal Reflux Disease in the Asian Countries
title_fullStr Helicobacter pylori Infection in Gastroesophageal Reflux Disease in the Asian Countries
title_full_unstemmed Helicobacter pylori Infection in Gastroesophageal Reflux Disease in the Asian Countries
title_short Helicobacter pylori Infection in Gastroesophageal Reflux Disease in the Asian Countries
title_sort helicobacter pylori infection in gastroesophageal reflux disease in the asian countries
url http://dx.doi.org/10.1155/2015/985249
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