Impact of gastric Helicobacter pylori infection on nasal mucociliary clearance


ŞAHİN E., KATAR M. K., HABERAL CAN İ.

EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, vol.277, no.10, pp.2761-2765, 2020 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 277 Issue: 10
  • Publication Date: 2020
  • Doi Number: 10.1007/s00405-020-06089-2
  • Journal Name: EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CAB Abstracts, EMBASE, MEDLINE, Veterinary Science Database
  • Page Numbers: pp.2761-2765
  • Keywords: Helicobacter pylori, Nasal mucociliary clearance, Chronic rhinosinusitis, Laryngopharyngeal reflux, GASTROESOPHAGEAL-REFLUX DISEASE, CHRONIC RHINOSINUSITIS, RELIABILITY, SINUSITIS, VALIDITY, POLYPS, ACID
  • Yozgat Bozok University Affiliated: Yes

Abstract

Objectives This study aimed to investigate the relationship between the presence of gastric Helicobacter pylori (HP) infection and nasal mucociliary clearance (NMC) time and to analyze the effect of HP eradication on NMC time. Materials and methods Patients who underwent gastric biopsy and had a positive result for HP constituted the study group, while the control group consisted of the patients who had a negative biopsy result. Two groups were compared in terms of NMC times. Quadruple medication therapy was given to HP-positive patients for 14 days for eradication and NMC time was measured again in these patients 8 weeks after eradication. Statistical analyses were performed with SPSS software (version 22.0; SPSS, Chicago, Illinois, USA). Results There were 60 patients in the study group (HP +), while the control group (HP -) included 50 patients. Mean NMC times were 12.86 +/- 2.62 and 8.32 +/- 2.24 for the study and control groups, respectively (p < 0.001). Pre- and post-eradication mean NMC times of the HP + patients were 12.71 +/- 2.58 and 8.62 +/- 1.39, respectively (p < 0.001). Conclusion We determined that NMC time was significantly higher in HP-positive patients when compared with HP-negative patients, and the NMC times went back to normal after eradicating the HP infection. Because NMC dysfunction plays an essential role in the pathogenesis of chronic rhinosinusitis (CRS), we propose that eradication of HP can have positive effects on the prognosis of CRS. Further studies are needed to establish this relationship.