AHMED N. MORRAH, M.D., M., AHMED H. ABDEL-AZEEM, M.D., I., M.Z. ELASLAMBOULY, M.Sc., M., HANAN FOUAD, M.D., E., MOHAMED Z. HAIDE, M.D., A., ZAKARIA, M.D., Z. (2022). Effect of Helicobacter Pylori Eradication on Hepatic Encephalopathy in Egyptian Cirrhotic Patients. test, 90(6), 927-931. doi: 10.21608/mjcu.2022.253211
MOSTAFA M.A. MELEEGY, M.Sc.; AHMED N. MORRAH, M.D.; IHAB ELDESOUKY, M.D.; AHMED H. ABDEL-AZEEM, M.D.; MOHAMED M.Z. ELASLAMBOULY, M.Sc.; EMAN MEDHAT, M.D.; HANAN FOUAD, M.D.; AHMED KHAIRY, M.D.; MOHAMED Z. HAIDE, M.D.; ZEINAB ZAKARIA, M.D.. "Effect of Helicobacter Pylori Eradication on Hepatic Encephalopathy in Egyptian Cirrhotic Patients". test, 90, 6, 2022, 927-931. doi: 10.21608/mjcu.2022.253211
AHMED N. MORRAH, M.D., M., AHMED H. ABDEL-AZEEM, M.D., I., M.Z. ELASLAMBOULY, M.Sc., M., HANAN FOUAD, M.D., E., MOHAMED Z. HAIDE, M.D., A., ZAKARIA, M.D., Z. (2022). 'Effect of Helicobacter Pylori Eradication on Hepatic Encephalopathy in Egyptian Cirrhotic Patients', test, 90(6), pp. 927-931. doi: 10.21608/mjcu.2022.253211
AHMED N. MORRAH, M.D., M., AHMED H. ABDEL-AZEEM, M.D., I., M.Z. ELASLAMBOULY, M.Sc., M., HANAN FOUAD, M.D., E., MOHAMED Z. HAIDE, M.D., A., ZAKARIA, M.D., Z. Effect of Helicobacter Pylori Eradication on Hepatic Encephalopathy in Egyptian Cirrhotic Patients. test, 2022; 90(6): 927-931. doi: 10.21608/mjcu.2022.253211

Effect of Helicobacter Pylori Eradication on Hepatic Encephalopathy in Egyptian Cirrhotic Patients

The Medical Journal of Cairo University
Volume 90, Issue 6, June 2022, Pages 927-931    PDF (333.88 K)
Document Type: Original Article
DOI: 10.21608/mjcu.2022.253211
Authors
MOSTAFA M.A. MELEEGY, M.Sc.; AHMED N. MORRAH, M.D.; IHAB ELDESOUKY, M.D.; AHMED H. ABDEL-AZEEM, M.D.; MOHAMED M.Z. ELASLAMBOULY, M.Sc.1; EMAN MEDHAT, M.D.; HANAN FOUAD, M.D.; AHMED KHAIRY, M.D.; MOHAMED Z. HAIDE, M.D.; ZEINAB ZAKARIA, M.D.2
1The Department of Orthopedic Surgery, Faculty of Medicine, Cairo University
2The Department of Endemic Medicine & Hepato-Gastroenterology, Faculty of Medicine, Cairo University1, Medical Biochemistry & Molecular Biology, Faculty of Medicine, Cairo University2 and Galala University, Suez Governorate3 and Hepatology & Gastroenterology Department at Ahmed Maher Teaching Hospital4
Abstract
Abstract Background: Much ammonia is produced by helicobacter pylori and by its eradication, the grade of hepatic encephalop-athy could be improved. Aim of Study: To evaluate the effect of H. pylori eradication on the stage of hepatic encephalopathy. Patients and Methods: This study included 80 cirrhotic patients infected with H. pylori which was diagnosed by stool antigen. The studied patients were further subdivided into groups according to the regimen of H. pylori eradication. Follow-up was done after one month to assess the effect of its eradication on the improvement of hepatic encephalopathy. Results: Follow-up after one month of treatment revealed that the eradication rate for H. pylori showed higher efficacy with Levofloxacin based therapy (89.47%) compared to Clarythromycin regimen (76.47%) with p-value=0.3. Most of cirrhotic patients with hepatic encephalopathy improved after successful eradication however without a statistical significance. Conclusions: Our results showed that H pylori eradication may improve the grade of hepatic encephalopathy.
Keywords
Liver cirrhosis; Hepatic encephalopathy; H. Pylori eradication
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