Endoscopy 2019; 51(04): S256
DOI: 10.1055/s-0039-1681943
ESGE Days 2019 ePosters
Friday, April 5, 2019 09:00 – 17:00: Stomach and small intestine ePosters
Georg Thieme Verlag KG Stuttgart · New York

EVALUATION OF THE RELATIONSHIP BETWEEN HELICOBACTER PYLORI AND THE SMALL WHITE SPOT LESIONS OF THE DUODENUM

B Çavuş
1   Gastroenterohepatology, Bingöl State Hospital, Bingöl, Turkey
,
T Çavuş
2   Internal Medicine, Kırklareli State Hospital, Kırklareli, Turkey
,
B Akyüz Erdoğan
3   Pathology, Bingöl State Hospital, Bingöl, Turkey
,
E Kumcu
3   Pathology, Bingöl State Hospital, Bingöl, Turkey
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

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    Aims:

    Most of the time we are unable to pinpoint the clear cause or clinical equivalent of the small white spot lesions of the duodenum which we often encounter during routine endoscopic evaluation and identify as duodenal lymphangiectasia (DL). We aimed to evaluate the frequency of these small white spot lesions in the duodenum and their relationship with Helicobacter pylori (H. pylori).

    Methods:

    In our study, endoscopic findings of 445 patients,231 of which were females and who underwent gastroscopy for complaints of dyspepsia in a period of 3 months, were evaluated via white light endoscopy by the same endoscopist. Biopsy samples from the duodenum and antrum in these patients whose endoscopic evaluation revealed were examined histologically and in terms of H.pylori.

    Results:

    Gastroscopic findings of 445 patients were evaluated. In the reports examined, white spot lesions in the duodenum were detected in 39 (8.8%) patients. Mean age of the patients with DL was found as 44.4 years, and that of those without DL was 47.2 years (p = 0.327). Of the patients with DL19 were male and there was no statistically significant difference between the groups with and without DL in terms of gender (p = 0.958). Biopsy samplings were taken from 28 of the 39 patients that we reported as having DL, and these biopsy samplings revealed DL in 5 patients (17.8%) and edema in 11 patients (39.2%). While H.pylori was detected as positive in 19 patients (48.7%) in the evaluation of H.pylori in biopsy samplings, there was no statistical difference in terms of H.pylori positivity between the patients identified as positively DL pathologic as well and those in the negative group (p = 0.695).

    Conclusions:

    The incidence of DL was found as8.8% in routine gastroscopy, and the positivity of H.pylori in this group was detected as48.7%. The presence of H.pylori was not detected to pose a significant difference between the group of patients in whom DL was identified pathologicaly as well and the group where it was found to be negative.


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