Yıl: 2016 Cilt: 23 Sayı: 4 Sayfa Aralığı: 409 - 413 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Neutrophil to lymphocyte ratio is increased in chronic helicobacter pylori infection and returns to normal after successful eradication

Öz:
Amaç: Nötrofil lenfosit oranı birçok hastalıkla ilişkisi gösterilmiş ucuz bir belirteçtir. Biz de bu çalışmada kronik Helicobacter pylori enfeksiyonu olan hastalarda nötrofil lenfosit oranını araştırmayı planladık. Gereç ve Yöntem: Kronik Helicobacter pylori enfeksiyonu olan 286 hasta ve 130 Helicobacter pilori (-) kontrol grubuna ait klinik ve laboratuar verileri retrospektif olarak analiz edildi. Bulgular: Ortalama nötrofil lenfosit oranı Helicobacter pylori (+) grupta 1,98±0,76 ve Helicobacter pylori (-) grupta 1,64±0,44 olup aradaki fark istatistiksel olarak anlamlıydı (p<0,001). Ortalama lökosit ve nötrofil sayıları, Helicobacter pylori (+) grupta sırasıyla 7,28±1,55/?L ve 4,27±1,17 /?L ve Helicobacter pylori (-) grupta sırasıyla 6,90±1,38 /?L ve 3,82±1,04 /?L olarak saptanmış olup her iki grup arasındaki fark gerek ortalama lökosit sayısı açısından (p=0,011) gerek se ortalama nötrofil sayısı açısından (p<0,001) anlamlı bulundu. Her iki grup arasında ortalama lenfosit sayısı, hemoglobin, hematokrit, RDW, trombosit sayısı, MPV, PDW açısından fark yoktu. 253 hastaya Helicobacter pylori eradikasyon tedavisi verilmişti. 76 hastada tedavi sonrası hematolojik veriler mevcuttu. Bu hastaların 45'inde (%59,2) eradikasyon tedavisinin başarılı olduğu (grup 1), 31 hastada (%40,8) ise eradikasyonun başarısız olduğu görüldü. Grup 1 için tedavi öncesi ve sonrası ortalama nötrofil lenfosit oranlarının 1,99±0,75 ve 1.70±0.60 olduğu ve aradaki farkın istatistiksel olarak anlamlı olduğu (p=0,004), grup 2 için ise tedavi öncesi ve sonrası ortalama nötrofil lenfosit oranlarının 1,93±0,59 ve 1.76±0.56 olduğu ve aradaki farkın istatistiksel olarak anlamlı olmadığı görüldü. Sonuç: Kronik Helicobacter pylori enfeksiyonunda nötrofil lenfosit oranı artmıştır. Başarılı eradikasyon tedavisi sonrası artmış nötrofil lenfosit oranı normale döner.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Kronik helicobacter pilori enfeksiyonunda nötrofil lenfosit oranı artmıştır ve başarılı eradikasyon sonrası normale döner

Öz:
Aim: Neutrophil to lymphocyte ratio (NLR) is a useful, low cost marker and it was studied in several diseases. This study was conducted to investigate NLR in chronic Helicobacter pylori infection. Materials and Methods: Clinic and laboratory data of 286 patients with chronic Helicobacter pylori infection and 130 Helicobacter pylori negative controls were analyzed retrospectively. Results: Mean neutrophil to lymphocyte ratio was higher in Helicobacter pylori (+) group than Helicobacter pylori (-) controls (1.98±0.76 vs. 1.64±0.44, p<0.001 respectively) Mean white blood cell and neutrophil counts were also significantly higher in Helicobacter pylori (+) group than Helicobacter pylori (-) controls (7.28±1.55/?L vs. 6.90±1.38 /?L, p=0.011 and 4.27±1.17 /?L vs. 3.82±1.04 /?L, p<0.001 respectively). Lymphocyte count, Hb, Hct, RDW, Plt, MPV, PDW were similar in both groups. 253 patients (88.5%) were given Helicobacter pylori eradication regimen. Post-treatment data were available in 76 (26.6%) patients. Helicobacter pylori, eradication treatment was successful in 45 (59.2%) patients (Group 1) and unsuccessful in 31 (40.8%) patients (Group 2). In group 1, mean pretreatment and post-treatment NLR were 1.99±0.75 and 1.70±0.60 respectively and difference was statistically significant (p=0,004). In group 2 mean pretreatment and post-treatment NLR were 1.93±0.59 and 1.76±0.56 respectively but the difference was not statistically significant (p=0.11). Conclusion: NLR is increased in chronic H.pylori infection and returns to normal after successful H.pylori eradication treatment
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Go MF. Review article: natural history and epidemiology of Helicobacter pylori infection. Aliment Pharmacol Ther 2002;16 Suppl 1:3-15.
  • Cheng YS, Kuang LP, Zhuang CL, Jiang JD, Shi M. Effects of cytotoxin-associated gene A (CagA) positive Helicobacter pylori infection on anti-platelet glycoprotein antibody producing B cells in patients with primary idiopathic thrombocytopenic purpura (ITP). Pak J Med Sci 2015;31(1):121-6.
  • Ieni A, Barresi V, Rigoli L, Fedele F, Tuccari G, Caruso RA. Morphological and Cellular Features of Innate Immune Reaction in Helicobacter pylori Gastritis: A Brief Review. Int J Mol Sci 2016;15;17(1). pii:E109.
  • Abde l-Razik A, Mousa N, Besheer TA, Eissa M, Elhelaly R, Arafa M, et al. Neutrophil to lymphocyte ratio as a reliable marker to predict insulin resistance and fibrosis stage in chronic hepatitis C virus infection. Acta Gastroenterol Belg 2015;78(4):386-92.
  • Biyik M, Ucar R, Solak Y, Gungor G, Polat I, Gaipov A, et al. Blood neutrophil-to-lymphocyte ratio independently predicts survival in patients with liver cirrhosis. Eur J Gastroenterol Hepatol 2013;25(4):435-41.
  • Mercan R, Bitik B, Tufan A, Bozbulut UB, Atas N, Ozturk MA, et al. The Association Between Neutrophil/Lymphocyte Ratio and Disease Activity in Rheumatoid Arthritis and Ankylosing Spondylitis. J Clin Lab Anal 2016;30(5)597-601.
  • Kucuk A, Erol MF, Senel S, Eroler E, Yumun HA, Uslu AU, et al. The role of neutrophil lymphocyte ratio to leverage the differential diagnosis of familial Mediterranean fever attack and acute appendicitis. Korean J Intern Med 2016;31(2):386-91.
  • Gunaldi M, Goksu S, Erdem D, Gunduz S, Okuturlar Y, Tiken E, et al. Prognostic impact of platelet/lymphocyte and neutrophil/lymphocyte ratios in patients with gastric cancer: a multicenter study. Int J Clin Exp Med 2015;15;8(4):5937-42. eCollection 2015.
  • Marshall BJ, Warren JR. Unidentified curved bacilli in the stomach of patients with gastritis and peptic ulceration. Lancet 1984;16;1(8390):1311-5.
  • Jafarzadeh A, Akbarpoor V, Nabizadeh M, Nemati M, Rezayati MT. Total leukocyte counts and neutrophil- lymphocyte count ratios among Helicobacter pylori- infected patients with peptic ulcers: independent of bacterial CagA status. Southeast Asian J Trop Med Public Health 2013;44(1):82-8.
  • Karttunen TJ, Niemelä S, Kerola T. Blood leukocyte differential in Helicobacter pylori infection. Dig Dis Sci 1996;41(7):1332-6.
  • Lee I. Critical pathogenic steps to high risk Helicobacter pylori gastritis and gastric carcinogenesis. World J Gastroenterol 2014;7;20(21):6412-9.
  • Jang J, Lee S, Jung Y, Song K, Fukumoto M, Gould VE, et al. Malgun (clear) cell change in Helicobacter pylori gastritis reflects epithelial genomic damage and repair. Am J Pathol 2003;162(4):1203-11.
  • Nakagawa H, Tamura T, Mitsuda Y, Goto Y, Kamiya Y, Kondo T, et al. Significant association between serum interleukin-6 and Helicobacter pylori antibody levels among H. pylori-positive Japanese adults. Mediators Inflamm 2013;2013:142358.
  • Abdollahi H, Shams S, Zahedi MJ, Darvish Moghadam S, Hayatbakhsh MM, Jafarzadeh A. IL-10, TNF-? and IFN-? levels in serum and stomach mucosa of Helicobacter pylori-infected patients. Iran J Allergy Asthma Immunol 2011;10(4):267-71.
  • Whincup PH, Mendall MA, Perry IJ, Strachan DP, Walker M. Prospective relations between Helicobacter pylori infection, coronary heart disease, and stroke in middle aged men. Heart 1996;75(6):568-72.
  • Wang ZW, Li Y, Huang LY, Guan QK, Xu da W, Zhou WK, et al. Helicobacter pylori infection contributes to high risk of ischemic stroke: evidence from a meta- analysis. J Neurol 2012;259(12):2527-37.
  • Hsieh MC, Wang SS, Hsieh YT, Kuo FC, Soon MS, Wu DC. Helicobacter pylori infection associated with high HbA1c and type 2 diabetes. Eur J Clin Invest 2013;43(9):949-56.
  • Kondo Y, Joh T, Sasaki M, Oshima T, Itoh K, Tanida S, et al. Helicobacter pylori eradication decreases blood neutrophil and monocyte counts. Aliment Pharmacol Ther 2004;20 Suppl 1:74-9.
  • Campuzano-Maya G. Hematologic manifestations of Helicobacter pylori infection. World J Gastroenterol. 2014;28;20(36):12818-38.
  • Ozkasap S, Yarali N, Isik P, Bay A, Kara A, Tunc B. The role of prohepcidin in anemia due to Helicobacter pylori infection. Pediatr Hematol Oncol 2013;30(5):425-31.
APA ASİL M, Dertli R (2016). Neutrophil to lymphocyte ratio is increased in chronic helicobacter pylori infection and returns to normal after successful eradication. , 409 - 413.
Chicago ASİL Mehmet,Dertli Ramazan Neutrophil to lymphocyte ratio is increased in chronic helicobacter pylori infection and returns to normal after successful eradication. (2016): 409 - 413.
MLA ASİL Mehmet,Dertli Ramazan Neutrophil to lymphocyte ratio is increased in chronic helicobacter pylori infection and returns to normal after successful eradication. , 2016, ss.409 - 413.
AMA ASİL M,Dertli R Neutrophil to lymphocyte ratio is increased in chronic helicobacter pylori infection and returns to normal after successful eradication. . 2016; 409 - 413.
Vancouver ASİL M,Dertli R Neutrophil to lymphocyte ratio is increased in chronic helicobacter pylori infection and returns to normal after successful eradication. . 2016; 409 - 413.
IEEE ASİL M,Dertli R "Neutrophil to lymphocyte ratio is increased in chronic helicobacter pylori infection and returns to normal after successful eradication." , ss.409 - 413, 2016.
ISNAD ASİL, Mehmet - Dertli, Ramazan. "Neutrophil to lymphocyte ratio is increased in chronic helicobacter pylori infection and returns to normal after successful eradication". (2016), 409-413.
APA ASİL M, Dertli R (2016). Neutrophil to lymphocyte ratio is increased in chronic helicobacter pylori infection and returns to normal after successful eradication. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 23(4), 409 - 413.
Chicago ASİL Mehmet,Dertli Ramazan Neutrophil to lymphocyte ratio is increased in chronic helicobacter pylori infection and returns to normal after successful eradication. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi 23, no.4 (2016): 409 - 413.
MLA ASİL Mehmet,Dertli Ramazan Neutrophil to lymphocyte ratio is increased in chronic helicobacter pylori infection and returns to normal after successful eradication. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, vol.23, no.4, 2016, ss.409 - 413.
AMA ASİL M,Dertli R Neutrophil to lymphocyte ratio is increased in chronic helicobacter pylori infection and returns to normal after successful eradication. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi. 2016; 23(4): 409 - 413.
Vancouver ASİL M,Dertli R Neutrophil to lymphocyte ratio is increased in chronic helicobacter pylori infection and returns to normal after successful eradication. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi. 2016; 23(4): 409 - 413.
IEEE ASİL M,Dertli R "Neutrophil to lymphocyte ratio is increased in chronic helicobacter pylori infection and returns to normal after successful eradication." İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 23, ss.409 - 413, 2016.
ISNAD ASİL, Mehmet - Dertli, Ramazan. "Neutrophil to lymphocyte ratio is increased in chronic helicobacter pylori infection and returns to normal after successful eradication". İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi 23/4 (2016), 409-413.