|Zbigniew Bartuzi1, Bogdan Romański1, Jadwiga Korenkiewicz2, Władysław Sinkiewicz1, Jacek Gocki1|
1)Katedra i Klinika Alergologii i Chorób Wewnętrznych Akademii Medycznej, ul. Ujejskiego 75, 85-168 Bydgoszcz
2)Katedra i Zakład Patomorfologii Klinicznej Akademii Medycznej, ul Ujejskiego 75, 85-168 Bydgoszcz
The aim of the present work is to determine the composition of cellular infiltrates in the stomach of patients with chronic gastritis and food allergy, and to compare the results obtained in patients with and without the presence of Helicobacter pylori (H.pylori). The study was carried out in a group of 34 food allergic patients reporting symptoms of dyspepsia. The control group consisted of 10 non-atopic patients, who showed symptoms of chronic inflammation of the stomach wall under endoscopic examination. All patients underwent endoscopy of the upper region of the alimentary tract and had 3 biopsy samples of the mucous membrane taken for histopathologic examination and detection of H.pylori. The samples were dyed with eosine and hematoxyline. Within the study group, 32 patients were diagnosed with having chronic gastritis. Eighteen of these had positive H.pylori results. The cellular infiltration in 9 cases was active. Eosinophils were found in all of the biopsied samples, 24 of the 32 in the from of infiltrates (over 30/100 inflammatory cells). In the patients with the H.pylori positive gastritis cellular infiltrate of the stomach wall, in the majority of cases comprised eosinophils (77% v 71%). In the control group 9 patients had H.pylori colonisation. In 3 cases the cellular infiltrate was active. In 3 cases eosinophils were detected. There was no statistically significant difference in the composition of the cellular infiltrates between the group of patients with food allergy and H.pylori positive and negative gastritis but there was a significant difference between patients with food allergy and the control group. Our study confirms a significant role of environmental factors, and atopy in the development of chronic gastritis.
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