Long-term strict monitoring of plasma ghrelin and other serological markers of gastric diseases after Helicobacter pylori eradication

Tatsuhiro Masaoka, Hidekazu Suzuki, Hiroyuki Imaeda, Hiroshi Hosoda, Tadashi Ohara, Tetsuo Morishita, Hiromasa Ishii, Kenji Kangawa, Toshifumi Hibi

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

We report on a case of chronic atrophie gastritis in which the serological markers of gastric diseases were strictly monitored for 2 years after successful Helicobacter pylori (H.pylori) eradication. A 31-year-old man with upper abdominal pain was diagnosed as having H.pylori infection. Laboratory examination revealed low serum levels of pepsinogen (PG) I, low PG I/II ratio, and low plasma levels of ghrelin. Upper gastrointestinal endoscopy revealed severe corpus-dominant atrophic gastritis. H.pylori eradication therapy was performed. Successful eradication was confirmed three months later by the 13C urea breath test. Decreased serum PG II levels and an increased serum PG I/II ratio were detected a week after completion of the eradication therapy. The serum anti-H.pylori IgG titer decreased to less than 75% of the baseline level by 24 weeks after completion of the eradication therapy. On the other hand, the plasma levels of total and active ghrelin showed no marked changes after successful eradication therapy. This is the first report of long-term follow-up of changes of the plasma ghrelin levels after H.pylori eradication therapy, the observations suggesting that reduction of plasma ghrelin levels cannot be achieved merely by H.pylori eradication, without resolution of the gastric atrophy.

Original languageEnglish
Pages (from-to)1-4
Number of pages4
JournalHepato-gastroenterology
Volume52
Issue number61
Publication statusPublished - 2005 Jan 1

Keywords

  • Eradication
  • Gastritis
  • Ghrelin
  • Helicobacter pylori
  • Marker
  • PG

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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  • Cite this

    Masaoka, T., Suzuki, H., Imaeda, H., Hosoda, H., Ohara, T., Morishita, T., Ishii, H., Kangawa, K., & Hibi, T. (2005). Long-term strict monitoring of plasma ghrelin and other serological markers of gastric diseases after Helicobacter pylori eradication. Hepato-gastroenterology, 52(61), 1-4.