Annals of Tropical Medicine and Public Health
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ORIGINAL ARTICLE
Year : 2018  |  Volume : 11  |  Issue : 2  |  Page : 48-51

Helicobacter pylori association with upper gastrointestinal pathologies in Northern Ghana


1 Department of Surgery, University for Development Studies, School of Medicine and Health Sciences, Tamale Teaching Hospital, Tamale, Ghana
2 Department of Anatomy, University for Development Studies, School of Medicine and Health Sciences, Tamale, Ghana

Correspondence Address:
Prof. Stephen Tabiri
Department of Surgery, University for Development Studies, School of Medicine and Health Sciences, Tamale Teaching Hospital, Tamale
Ghana
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ATMPH.ATMPH_685_17

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Background: Pathologies of Helicobacter pylori infection show distinct regional patterns and are unclassified for Northern Ghana. Materials and Methods: Demographic and clinical data of 1580 patients who underwent upper gastrointestinal endoscopy (Tamale Teaching Hospital) were assessed. Results: The prevalence of H. pylori infection was 73.4%. Patients 31-50 years-old and >50 years-old had significantly more positive H. pylori tests than the ≤30 year-olds (odds ratios [ORs] [95% confidence interval [CIs]: 8.6 [6.637-11.22] and 6.1 [4.609-8.203]; both, P< 0.0001). Presenting symptoms were epigastric pain (67.3%), abdominal pain (21.5%), hematemesis (7.6%), and dysphagia (2.0%). H. pylori was diagnosed in 72.5% of patients with duodenal ulcers and 77.0% with gastric ulcer (n = 444). Gastric ulcer was significantly associated with H. pylori (OR [95% CI]: 1.3 [1.01-1.69], P= 0.042), and gastritis showed a positive but not statistically significant association. Conclusions: In Northern Ghana, H. pylori infection is associated with gastritis, gastric ulcer, and duodenal ulcer and is most common in middle-aged adults (31-50 years old).


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