Navigating Through Surgical Implications of Helicobacter pylori: An Up-to-Date Comprehensive Literature Review

Chirurgia (Bucur). 2023 Dec;118(6):568-583. doi: 10.21614/chirurgia.2023.v.118.i.6.p.568.

Abstract

Helicobacter pylori, a gram-negative bacterium, has been identified as a major contributor to gastrointestinal diseases, ranging from gastritis and peptic ulcers to more severe complications such as gastric adenocarcinoma and mucosa-associated lymphoid tissue (MALT) lymphoma. While pharmacological eradication therapies have been successful in managing H. pylori-associated diseases, the implications of this bacterium on surgical interventions remain a topic of ongoing research and clinical consideration. This comprehensive review aims to elucidate the intricate surgical implications of H. pylori infection. Recent data on the well-known relationship between and the development of gastroduodenal diseases, including peptic ulcers and gastric cancer, is analyzed. Concurrently, Helicobacter pylori infection may have a role in promoting colonic carcinogenesis and, more interestingly, it has also been linked to biliary tract cancers. The review highlights the evolving landscape of H. pylori management in the context of surgical interventions, accentuating the need for further research to delineate optimal strategies for preoperative screening, eradication therapies, and their impact on surgical outcomes and long-term patient prognosis. Comprehending the surgical ramifications of H. pylori infection remains crucial, emphasizing the significance of interdisciplinary approaches and ongoing research effort aimed at enhancing patient care.

Keywords: carcinogenesis; helicobacterpylori; prognosis; screening; strategies; surgicalimplications.

Publication types

  • Review

MeSH terms

  • Gastritis* / complications
  • Gastritis* / drug therapy
  • Gastritis* / surgery
  • Helicobacter Infections* / complications
  • Helicobacter Infections* / drug therapy
  • Helicobacter Infections* / microbiology
  • Helicobacter pylori*
  • Humans
  • Lymphoma, B-Cell, Marginal Zone* / drug therapy
  • Lymphoma, B-Cell, Marginal Zone* / etiology
  • Lymphoma, B-Cell, Marginal Zone* / surgery
  • Peptic Ulcer* / complications
  • Peptic Ulcer* / surgery
  • Stomach Neoplasms* / etiology
  • Stomach Neoplasms* / surgery
  • Treatment Outcome