gms | German Medical Science

The transmission of the gastric pathogen Helicobacter pylori involves the oral route. The incidence of Helicobater pylori infection varies gobally and depends on the socioeconomic situation of a location. In the territory of Bosnia and Herzegovina, the incidence rate among the populace is 40–50% in persons with normal gastroscopic findings, whereas it is increased in persons with pathohistological findings of the ulcus disease. This study examines the potential preventive role of tonsillectomy with regard to H. Pylori infection in later stages of life. The survey was conducted on a sample of 115 examines (63 male, 52 female), aged between 19 and 65. The survey included examines who underwent esophagogastroscopy at the Clinic for Gastroenterology Clinical Center University of Sarajevo based on indication by a gastroenterology specialist. The survey has shown that of the total of 115 examinees, 28 of them had been tonsillectomised, and 87 had not been tonsillectomised. In the examinees who had not been subjected to tonsillectomy, positive H. Pylori result was found in 65.8%, and 62.8% of those who had beeb tonsillectomised at young age were positive to H. Pylori. The result have shown that H. Pylori infection was equally represented in all age groups, and the rate varies at 52.9–64.8%. Final conclusion was reached that tonsillectomy has no preventive role with regard to H.pylori infection.

Conclusion: The adenotonsillar tissue does not constitute an extra gastric reservoir for H. pylori infection, at least a permanent one, in this population of children. Moreover, techniques currently used for detecting gastric H. pylori colonization are not adequate to evaluate infection of the adenotonsillar tissues.

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