DOI: 10.21276/sasjm.2018.4.11.4

Pages: 189-192

Bile reflux gastritis (BRG) is a clinical diagnosis based on presence of bile and gastritis on endoscopy. We aimed to analyze relationship of pathological results, Helicobacter Pylori (HP), intestinal metaplasia (IM) between each other and with primary BRG diagnosed on endoscopy. Seventy-three patients with diagnosis of primary BRG on endoscopy was retrospectively analyzed. Age, gender, endoscopic gastric biopsy results were recorded. Type of gastritis, Helicobacter pylori (HP) and intestinal metaplasia were recorded on pathological analysis. The interrelation between pathological findings of primary BRG,HP and IM were analyzed. Seventy-three patients with a mean age of 51.01+16.4 years were included. Female/male ratio was 1.70. Twenty-eight (38.4%) of the patients were HP positive and 61.6% were HP negative. 16.4% of the patients were IM positive and 83.6% were IM negative. There was atrophy in 5.4%. Female dominance was contrary to male dominance of the literature. The incidence of HP positivity was lower than its negativity in BRG patients. There was not an increase in IM rate, contrary to the literature. Chronic inactive gastritis and chronic active superficial gastritis were significantly high. It was observed not to cause an increase neither in IM nor gastric mucosal atrophy.