Trend in the Eradication Rates of Helicobacter pylori Infection Over the Last 10 Years in West Gyeonggi-do, Korea: A Single Center Experience / 대한소화기학회지

BACKGROUND/AIMS: The eradication rate of Helicobacter pylori (H. pylori) has been decreasing recently in Korea due to antibiotics resistance. The aim of this study was to investigate the trend of eradication rate and clinical factors affecting the eradication rate of H. pylori in the last 10 years in west Gyeonggi-do, Korea. METHODS: The trends of eradication rate of H. pylori, gender, age, concomitant mediations, and clinical factors were retrospectively evaluated in patients with H. pylori infection between 2006 and 2015 (n=2,485). RESULTS: The overall H. pylori eradication rate for the standard triple therapy was 82.5%. The annual eradication rates from 2006 to 2015 were 90%, 77.9%, 75.8%, 83.2%, 85.6%, 90.1%, 81.3%, 81.1%, 78.7%, and 78.8%, respectively, showing a significant decrement during the last five years (p < 0.001). Higher eradication rate was observed in males than in females (p < 0.001). Esomeprazole showed a higher eradication rate compared with pantoprazole between 2006 and 2010 (p < 0.022). Age and the use of probiotics and mucosal protective agents played no significant role in the H. pylori eradication rate. The overall eradication rate for bismuth-based quadruple therapy was 94.4%. CONCLUSIONS: The eradication rate of H. pylori over the last 10 years for first-line therapy ranged from 75.8 to 90.1%; the eradication rate for triple therapy has declined. However, the eradication rate for quadruple therapy has remained unchanged over the last 10 years.

A Case Report of Ventricular Dysrhythmia in a Patient with Sinus Bradycardia and Low Blood Pressure / 대한마취과학회지

Sinus Bradycardia per se does not necessitate therapy. In fact, its presence often implies good health or a good prognosis. A 56-year-old patient, whose pulse rate was about 35 beats per minute and blood pressure was 80/50 mmHg, underwent total gastrectomy under general anesthesia. Ventricular dysrhythmia occurred after the second dose of gallamine managed with lidocaine, and after the administration of atropine and ephednne managed with hydralazine. Authors report this case with the evaluation of references.

A Case Report of Ventricular Dysrhythmia in a Patient with Sinus Bradycardia and Low Blood Pressure / 대한마취과학회지

Sinus Bradycardia per se does not necessitate therapy. In fact, its presence often implies good health or a good prognosis. A 56-year-old patient, whose pulse rate was about 35 beats per minute and blood pressure was 80/50 mmHg, underwent total gastrectomy under general anesthesia. Ventricular dysrhythmia occurred after the second dose of gallamine managed with lidocaine, and after the administration of atropine and ephednne managed with hydralazine. Authors report this case with the evaluation of references.