Is There a Correlation Between and Enterohepatic Helicobacter Species and Gallstone Cholecystitis?
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BACKGROUND Cholecystitis is a common surgical condition. Recently, several authors have reported that DNA of bile tolerant spp. has been found in the human bile colonizing the biliary tract. The aim of this study was to evaluate the association between the presence of spp. and gallstone cholecystitis. METHODS In this case-control study, gallstones, bile, and gallbladder mucosa were collected from 25 patients without gallstone disease, 24 with acute cholecystitis, and 28 with chronic cholecystitis. The presence of , and were investigated by polymerase chain reaction (PCR) using species-specific primers. RESULTS In this study, 77 subjects with acute and chronic cholecystitis and control groups with a mean age of 46.85 ± 14.53 years, including 58 (67.25%) women and 19 (32.75%) men were included. DNA of 10 spp. was detected in the bile of the patients with cholecystitis including eight and two . However, we could not detect and DNA in the samples. Moreover, there was an association between and acute cholecystitis ( = 0.048), which was found to be stronger in 31-40-year-olds group ( = 0.003). CONCLUSION We found an association between the presence of DNA and acute gallstone cholecystitis. There is not statistically significant correlation between three enterohepatic spp. ( , and ) and cholelithiasis. Given the low sample size of the patients, more studies are required to clear the clinical role of spp. in the gallstone disease and cholecystitis.
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