Active Helicobacter pylori Infection is Independently Associated with Nonalcoholic Steatohepatitis in Morbidly Obese Patients

Clicks: 239
ID: 110890
2020
Nonalcoholic fatty liver disease (NAFLD) emerges as an important global burden and Helicobacter pylori infection (Hp-I) has been suggested as a risk factor of NAFLD, although controversy exists. This retrospective study aimed to investigate a potential impact of active Hp-I on NAFLD severity in morbidly obese patients, subjected to bariatric surgery and gastric biopsy for documentation of Hp-I. Of 64 eligible participants, 15 (23.4%) were diagnosed with active Hp-I, showing higher rates of nonalcoholic steatohepatitis (NASH) than those without Hp-I (86.7% vs. 26.5%, respectively; p < 0.001). Concerning histological lesions, steatosis grade (p = 0.027), ballooning (p < 0.001), lobular inflammation (p = 0.003), and fibrosis stage (p < 0.001) were also more severe in Hp-I positive patients. Likewise, liver function tests, insulin resistance, dyslipidemia, and arterial hypertension were significantly higher in Hp-I positive patients. Hp-I was independently positively associated with NASH (beta = 3.27; p = 0.002), severe NASH (beta = 2.37; p = 0.018), and the presence of fibrosis (beta = 3.86; p = 0.001) in a binary regression model, after adjustment for potential confounders. In conclusion, active Hp-Ι was independently associated with NASH and fibrosis, findings offering potential clinical implication.
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Authors Michael Doulberis;Simone Srivastava;Stergios A Polyzos;Jannis Kountouras;Apostolis Papaefthymiou;Jolanta Klukowska-Rötzler;Annika Blank;Aristomenis K Exadaktylos;David S Srivastava;Doulberis, Michael;Srivastava, Simone;Polyzos, Stergios A;Kountouras, Jannis;Papaefthymiou, Apostolis;Klukowska-Rötzler, Jolanta;Blank, Annika;Exadaktylos, Aristomenis K;Srivastava, David S;
Journal journal of clinical medicine
Year 2020
DOI 10.3390/jcm9040933
URL
https://www.mdpi.com/2077-0383/9/4/933
Keywords
metabolic syndrome nonalcoholic fatty liver disease nonalcoholic steatohepatitis nafld helicobacter pylori nash hp mets

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