ABSTRACT
Two outpatient medical offices evaluated 204 patients with chronic urticaria during 2012. This article presents a retrospective study showing that 10% of patients with chronic urticaria may be infected with H. pylori. Furthermore, eradication of infection can be followed by remission of urticaria, reduced morbidity from gastric ulcers, and cancer.
Subject(s)
Angioedema/microbiology , Helicobacter Infections/complications , Helicobacter pylori/isolation & purification , Urticaria/microbiology , Adult , Aged , Angioedema/nursing , Angioedema/physiopathology , Chronic Disease , Female , Helicobacter Infections/epidemiology , Helicobacter Infections/nursing , Humans , Male , Middle Aged , Nurse Practitioners , Nurse's Role , Nursing Assessment , Practice Guidelines as Topic , Prevalence , Retrospective Studies , United States/epidemiology , Urticaria/nursing , Urticaria/physiopathologySubject(s)
Exocrine Pancreatic Insufficiency/nursing , Helicobacter Infections/nursing , Inflammatory Bowel Diseases/nursing , Referral and Consultation , Transcultural Nursing/methods , Adult , Exocrine Pancreatic Insufficiency/psychology , Exocrine Pancreatic Insufficiency/therapy , Helicobacter Infections/psychology , Helicobacter Infections/therapy , Humans , Inflammatory Bowel Diseases/psychology , Inflammatory Bowel Diseases/therapy , Male , New Zealand , Nurse-Patient Relations , Patient Compliance/psychologyABSTRACT
Helicobacter pylori has been linked to development of peptic ulcers and increases the risk of developing gastric carcinoma. Currently, about half of the world's population is infected with H. pylori, many of whom are older adults. Older adult populations often have multiple comorbidities that may mask dyspeptic signs and symptoms. The role of H. pylori and infective signs vary by age, and the confusing symptoms in older adult populations may delay detection and treatment of H. pylori. In addition, time of detection and appropriate treatment is paramount to prevent gastric pathology. Clinicians need to recognize and understand the importance of risk factors, screening, detection, and treatment of H. pylori, particularly in older adults. Earlier detection and more aggressive, proactive clinical recognition of dyspeptic signs and symptoms may lead to earlier screening and diagnosis of H. pylori in older adult populations and help decrease the frequency of gastric metaplasia.
Subject(s)
Helicobacter Infections/nursing , Helicobacter pylori , Aged , Aged, 80 and over , Anti-Bacterial Agents/therapeutic use , Anti-Infective Agents/therapeutic use , Anti-Infective Agents, Local/therapeutic use , Antidiarrheals/therapeutic use , Bismuth/therapeutic use , Breath Tests , Carcinoma/microbiology , Carcinoma/prevention & control , Drug Therapy, Combination , Early Diagnosis , Florida/epidemiology , Helicobacter Infections/complications , Helicobacter Infections/diagnosis , Helicobacter Infections/drug therapy , Helicobacter Infections/epidemiology , Helicobacter pylori/isolation & purification , Humans , Organometallic Compounds/therapeutic use , Peptic Ulcer/microbiology , Peptic Ulcer/prevention & control , Population Surveillance , Practice Guidelines as Topic , Prevalence , Randomized Controlled Trials as Topic , Risk Factors , Salicylates/therapeutic use , Stomach Neoplasms/microbiology , Stomach Neoplasms/prevention & control , Treatment OutcomeABSTRACT
OBJECTIVES: To review the pathogenesis of MALT lymphoma, and the associations with antigenic stimulation, presentation, and unique treatment. DATA SOURCES: Research and review articles and textbooks. CONCLUSION: MALT lymphoma is a heterogeneous but unique pathologic form of extranodal B-cell non-Hodgkin's lymphoma. The gastrointestinal tract is the most common site of disease, but involvement of multiple other organ systems has been reported. In the case of gastric MALT lymphomas, H. pylori has been highly implicated as the stimulating agent. Treatment strategies for early disease involve eradication of H. pylori when it is involved and/or radiotherapy, which alone may result in cure of this lymphoma. Chemotherapy is used in more advanced or resistant disease. IMPLICATIONS FOR NURSING PRACTICE: Nurses play a significant role in the education of patients about this unique malignancy and follow-up regarding compliance with therapy. Attention to social needs of the patients is critical.
Subject(s)
Lymphoma, B-Cell, Marginal Zone , Anti-Bacterial Agents/therapeutic use , Biopsy , Gastrointestinal Neoplasms/diagnosis , Gastrointestinal Neoplasms/drug therapy , Gastrointestinal Neoplasms/microbiology , Gastrointestinal Neoplasms/nursing , Helicobacter Infections/complications , Helicobacter Infections/diagnosis , Helicobacter Infections/drug therapy , Helicobacter Infections/nursing , Helicobacter pylori , Humans , Lymphoma, B-Cell, Marginal Zone/diagnosis , Lymphoma, B-Cell, Marginal Zone/microbiology , Lymphoma, B-Cell, Marginal Zone/nursing , Lymphoma, B-Cell, Marginal Zone/therapySubject(s)
Gastritis/nursing , Helicobacter Infections/nursing , Helicobacter pylori , Stomach Neoplasms/nursing , 2-Pyridinylmethylsulfinylbenzimidazoles , Amoxicillin/therapeutic use , Benzimidazoles/therapeutic use , Clarithromycin/therapeutic use , Drug Therapy, Combination , Gastritis/prevention & control , Helicobacter Infections/prevention & control , Humans , Omeprazole/analogs & derivatives , Omeprazole/therapeutic use , Pantoprazole , Stomach Neoplasms/prevention & control , Sulfoxides/therapeutic useSubject(s)
Gastritis/nursing , Helicobacter Infections/nursing , Helicobacter pylori , Urticaria/nursing , Chronic Disease , Diagnosis, Differential , Gastritis/complications , Gastritis/diagnosis , Helicobacter Infections/complications , Helicobacter Infections/diagnosis , Humans , Nursing Assessment , Nursing Diagnosis , Risk Factors , Urticaria/diagnosis , Urticaria/etiologySubject(s)
Gastritis/nursing , Helicobacter Infections/nursing , Helicobacter pylori , Sodium, Dietary/adverse effects , Stomach Neoplasms/nursing , Cocarcinogenesis , Diet, Sodium-Restricted/nursing , Gastritis/complications , Helicobacter Infections/complications , Helicobacter Infections/prevention & control , Humans , Risk Factors , Stomach Neoplasms/etiology , Stomach Neoplasms/prevention & controlABSTRACT
En los pacientes operados de estómago el reflujo biliar reduce la incidencia de Helicobacter pylori, ya que crea condiciones desfavorables para su supervivencia, lo cual es más evidente en aquellos casos operados con la técnica Billroth I y II o con vagotomías con piloroplastia. De 55 pacientes gastrectomizados estudiados de forma experimental, no ciego y aleatorio, se detectó en 30 de ellos la presencia de Helicobacter pylori mediante métodos invasivos empleados, lo que demuestra una incidencia elevada de 55(por ciento), al compararla con los datos reportados en la literatura médica internacional. Los 30 pacientes fueron adultos de uno y otro sexos, con diagnóstico de gastritis crónica alcalina por reflujo duodenogástrico; en resecados de estómago (Billroth I, II) mediante endoscopia superior y con H.pylori positivo. La infección por H. pylori fue más frecuente en enfermos del sexo masculino y en edades comprendidas entre los 46 y 60 años. Se describen los cuidados de enfermería en la realización de la endoscopia y en las diferentes investigaciones efectuadas para la detección del H. pylori. Se hace énfasis en la importancia de la labor de enfermería para garantizar el éxito del diagnóstico de esta infección(AU)
Subject(s)
Humans , Adult , Middle Aged , Stomach/surgery , Helicobacter pylori , Helicobacter Infections/nursing , Nursing Care , Retrospective StudiesABSTRACT
En los pacientes operados de estómago el reflujo biliar reduce la incidencia de Helicobacter pylori, ya que crea condiciones desfavorables para su supervivencia, lo cual es más evidente en aquellos casos operados con la técnica Billroth I y II o con vagotomías con piloroplastia. De 55 pacientes gastrectomizados estudiados de forma experimental, no ciego y aleatorio, se detectó en 30 de ellos la presencia de Helicobacter pylori mediante métodos invasivos empleados, lo que demuestra una incidencia elevada de 55 (por ciento), al compararla con los datos reportados en la literatura médica internacional. Los 30 pacientes fueron adultos de uno y otro sexos, con diagnóstico de gastritis crónica alcalina por reflujo duodenogástrico; en resecados de estómago (Billroth I, II) mediante endoscopia superior y con H.pylori positivo. La infección por H. pylori fue más frecuente en enfermos del sexo masculino y en edades comprendidas entre los 46 y 60 años. Se describen los cuidados de enfermería en la realización de la endoscopia y en las diferentes investigaciones efectuadas para la detección del H. pylori. Se hace énfasis en la importancia de la labor de enfermería para garantizar el éxito del diagnóstico de esta infección(AU)
In patients with stomach surgery, the biliary reflux reduces the incidence of Helicobacter Pylori since it creates unfavorable conditions for the survival of this bacteria. This is more evident in those cases operated on with Billroth I and II o with vagotomies with pyloroplasty. Of 55 patients with stomach surgeries included in an experimental non-blind and random study, helicobacter pylory was found in 30 of them by using invasive methods., which showed a high incidence of 55 percent after a comparison with the international medical literature data. These 30 patients were adults of both sexes diagnosed with chronic alkaline gastritis due to duodenal-gastric reflux, gastric-resected (Billroth I,II) through upper endoscopy and H.pylory-positive. H.pylori infection was more frequent in male patients aged 46-60 years. Nursing care in endoscopy and in the various research methods for detecting H.pylori was described. Emphasis was made on the importance of the nurses'work to ensure successful diagnosis of this infection(AU)
