THE OCCURRENCE OF SIEVE-LIKE DUODENUM DUE TO HELICOBACTER PYLORI INFECTION IN A CIRRHOTIC PATIENT: CURRENT INSIGHTS, MANAGEMENT, AND THE IMPORTANCE OF H. PYLORI INFECTION AND ITS ASSOCIATIONS WITH CIRRHOSIS

1) Department of Hepatology and Transplant Medicine Institute of Liver and Biliary Sciences D-1, Vasant Kunj, New Delhi, India.

2) Department of Pathology Institute of Liver and Biliary Sciences D-1, Vasant Kunj, New Delhi, India.

Disclosure: The author has declared no conflicts of interest.

Received: 16.07.16 Accepted: 19.08.16

Citation: 10.5455/ijsm.helicobacter-pylory-infection

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Abstract:

Helicobacter pylori infection is prevalent world-wide. Involvement of H. pylori in the etiopathogenesis of liver diseases are a matter of debate. Treatment options vary widely between different regions with regards to microbial sensitivity patterns. In this short review, we present the case of an alcoholic cirrhosis patient, who presented with a rare ‘sieve-like’ appearance of the duodenum secondary to multiple ulcers, due to H. pylori infection.. We review briefly, but concisely, the different associations and strengths of H pylori with liver disease and recent guidelines and recommendations on treatment of this widely present infection.

Keywords: cirrhosis, portal hypertension, Helicobacter pylori, NAFLD, HCV, HCC, duodenal ulcer, gastritis