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The research progress of association between Helicobacter pylori and inflammatory bowel disease |
CHENG Yi′an TAN Shiyun LI Ming |
Department of Gastroenterology, Renmin Hospital of Wuhan University, Hubei Province, Wuhan 430060, China |
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Abstract Inflammatory bowel disease (IBD) is a chronic inflammatory disease affecting intestinal tract. Existing researches suggest that environment, genetics, immunity and infection may be involved in its pathogenesis. Helicobacter pylori (H.pylori) is a common human pathogen, which is associated with a variety of gastric and extra-gastric diseases. In recent years, a lot of data show a negative correlation between them, and studies find that this association may be related to the immune regulation characteristics of H.pylori or other confounding factors such as antibiotics, sulfasalazine and environment. In addition, there are cases of newly diagnosed IBD after the eradication of H.pylori and it may trigger Crohn disease by affecting the balance between Th1 and Th2 immune response. The association between H.pylori and IBD as well as the mechanism are disscussed in this paper, and the article also reviews the development of IBD after the eradication of H.pylori.
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