Prevalence of Helicobacter pylori infection in adults submitted to endoscopy in southern Brazil

The most important characteristics of Helicobacter pylori infection were studied in 96 patients submitted endoscopic examination at the University Hospital of the Federal Unlversity of Santa Catarina, Florianópolis southern Brazil. As diagnostic method of the infection we used the presence of Helicobacter pylori on histologic examination, stained by hematoxilin-eosin and Giemsa stains ("gold standard"), immunologic test (ELISA Roche), bacteriologic slide (Gram stained), and urease biopsy test. The rnedian age of the series was 44.6 years (range 14 to 84 years, SD = 18.1), with 56 (58.3 per cent) males. The prevalence of the infection was 78.1 per cent 75/96 and Helicobacter pylori infection was associated with gastritis in 96.6 per cent of the cases (68/75, p < O.0 1). Sixteen of 17 patients with peptic ulcer disease tested positive for the presence of Helicobacter pylori. The infection proportionally more prevalent in the older groups, and there was no statistical gender difference.

[Non alcoholic steatohepatitis. Mid-term clinical and histologic course in 10 patients]. / Esteatohepatitis no alcohólica. Evolución clínica e histológica a medio plazo de diez pacientes.

BACKGROUND: The progressive character of the hepatic lesions in nonalcoholic steatohepatitis (NASH) has not been well established. In the present study, the clinical and histological course of this condition was evaluated at medium term. METHODS: Then patients (6 females and 4 males) with NASH, in a non-cirrhotic stage at the time of diagnosis, were followed up during 58 +/- 7 months (range 24 to 88 months). RESULTS: Nine patients were obese, but a significant reduction of body weight was found at the end of the study (p = 0.0072). Other clinical, physical or laboratory changes were not found, although in two cases hepatic biochemical tests were within normal limits when the follow-up biopsy was performed. Changes in the characteristic hepatic features were also absent, although fat infiltrates disappeared in three cases. Six patients had increased fibrosis and a progression of the hepatic architectural distortion; four reached the stage of cirrhosis. The evolution of the hepatic lesion correlated with the interval between diagnostic and follow-up biopsies (r = 0.69; p less than 0.05) and with the reduction in body weight (r = 0.64; p less than 0.05). CONCLUSIONS: In most cases, NASH results in a progressive hepatic distortion with can end in cirrhosis, although the change is slow and silent.