Title

Chronic abdominal complaints and Helicobacter pylori in a Haitian population

Document Type

Journal Article

Publication Date

1-1-2004

Journal

Journal of Health Care for the Poor and Underserved

Volume

15

Issue

2

DOI

10.1353/hpu.2004.0026

Keywords

Abdominal pain; African enigma; Chronic gastritis; Haiti; Helicobacter pylori

Abstract

The objective of this study was to examine demographic, clinical, and pathologic variables, including Helicobacter pylori infection and malignancy, associated with chronic abdominal pain in a rural Haitian population. One hundred four patients underwent esophagogastroduodenoscopy, with biopsy only in those with gross findings. Associations between demographic, clinical, and pathologic variables were examined using the chi-square test. P values less than or equal to 0.05 were considered statistically significant. The majority (n = 66; 63%) required biopsy. Of these, 62% were positive for H. pylori. The associations between (1) chest complaints and esophageal disease, (2) female gender and benign esophageal disease, and (3) chronic active gastritis and presence of H. pylori were significant. There was one malignancy. H. pylori gastritis was common; malignancy was rare. Demographic and clinical variables poorly predicted pathologic diagnosis, which is consistent with previous studies. Further study is needed to assess the influence of other variables, including the African enigma, on disease progression in this population.

This document is currently not available here.

Share

COinS