Helicobacter pylori ve Faringolaringeal Kanserler Arasındaki İlişki: Gelişimdeki Rolü ve Prognozdaki Önemi
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DERLEME

Helicobacter pylori ve Faringolaringeal Kanserler Arasındaki İlişki: Gelişimdeki Rolü ve Prognozdaki Önemi

Mediterr J Infect Microb Antimicrob 2019;8:2-2 DOI: 10.4274/mjima.galenos.2019.2019.2
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Öz

Helicobacter pylori dünyada yaygın olarak bulunan ve insanları enfekte eden bir bakteridir. Bu Gram-olumsuz mikroorganizma, mikroaerofilik, spiral ya da eğimli şekildedir ve ayrıca üreaz, katalaz ve oksidaz olumludur. Midedeki asidik ortamda yaşamını sürdürme özelliğine sahiptir. Günümüzde H. pylori’nin gastrik ülser ve malign lezyonlarda rolü olduğu ispatlanmıştır. Dahası, H. pylori’nin kardiyovasküler, dermatolojik, immünolojik, nörolojik, hematolojik, oftalmolojik, jinekolojik, endokrinolojik ve hepatobiliyer hastalıklar gibi çeşitli sistemik hastalıkların nedeni olabileceği bildirilmiştir. Ayrıca literatürde H. pylori enfeksiyonu ile rinit, sinüzit, adenoidit/adenoid hipertrofi, otitis media, tonsillit/tonsil hipertrofisi gibi benign üst solunum yolu hastalıkları arasında olumlu ya da olumsuz ilişki gösteren çok sayıda çalışma bulunmaktadır. Ancak H. pylori’nin patogenezdeki rolü veya bu hastalıklarla olan ilişkisi ile ilgili tartışmalar devam etmektedir. Bununla birlikte bazı çalışmalarda H. pylori’ye karşı oluşan sistemik immün ya da enflamatuvar yanıtın bazı sistemik hastalıkların veya malignitelerin nedeni olabileceği bildirilmiştir. Her ne kadar H. pylori’nin üst ve alt solunum yolu benign ve malign hastalıklarındaki rolü hakkında çalışmalar bulunsa da, H. pylori enfeksiyonu ve solunum yolu hastalıkları arasındaki patofizyolojik ilişkiyi ortaya koymak için daha ileri çalışmalara gereksinim bulunmaktadır. Bu derleme ile literatürde H. pylori ve solunum yollarının hem benign hem de malign hastalıkları arasındaki hem olumlu hem de olumsuz ilişkiyi gösteren çalışmaların özetlenmesi hedeflendi.

Anahtar Kelimeler: Prognostik önem, faringeal karsinom, laringeal karsinom, laringofaringeal reflü, karsinogenez

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