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. 2020 Aug 1;21(8):2431-2437.
doi: 10.31557/APJCP.2020.21.8.2431.

H. pylori Infection and Colorectal Cancers by Anatomical Locations

Dao Viet Hang  1   2 , Dinh Thi Minh  2 , Tran Hieu Hoc  3 , Le Hong Phuoc  4 , Tran Que Son  3 , Ngoan Tran Le  5   6
Affiliations

H. pylori Infection and Colorectal Cancers by Anatomical Locations

Dao Viet Hang et al. Asian Pac J Cancer Prev. .

Abstract

Background: H. pylori infection may play a role in the development of colorectal cancers (CRC). We aimed to examine the association between H. pylori infection and the risk of CRC by anatomical locations.

Methods: We conducted a case-control study on 91 incidence cases of CRC and 224 hospital controls. CRC was determined by histopathological examinations. H. pylori IgG antibody in serum was tested. We collected data on the diet, nutrition, and lifestyle by the validated semi-quantitative food frequency and demographic lifestyle questionnaire. The odds ratio and 95% confidence interval (OR (95%CI) were estimated for CRC and its subgroups.

Results: Overall 54.95% of CRC cases and 42.41% of the controls were H. pylori-seropositive, OR (95%CI): 1.56 (0.88, 2.74), p for trend=0.115. Positive dose-response association in quartiles, highest vs lowest, was observed for total CRC, OR (95%CI): 2.14 (1.00, 4.58), p for trend=0.049, for proximal colon, OR (95%CI): 1.52 (0.37, 6.25), p for trend=0.571), and for distal colon and rectum cancers combined, OR (95%CI): 2.38 (1.03, 5.50), p for trend=0.039.

Conclusions: There is a positive association between H. pylori and colorectal cancers, especially distal colon and rectum cancers combined, but additional research is needed to determine the underlying mechanism of chronic H. pylori infection-induced CRC in humans.

Keywords: Case-control study; H. pylori; colorectal cancer.

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Figures

Figure 1
Figure 1
Flow-Chart of the Recruitment of Colorectal Cancer Cases and Non-Cancer Controls
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