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2017-04-15

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Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/129780

Helicobacter pylori infection, chronic corpus atrophic gastritis and pancreatic cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort: a nested case-control study

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https://doi.org/10.1002/ijc.30590

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The association between H. pylori infection and pancreatic cancer risk remains controversial. We conducted a nested case-control study with 448 pancreatic cancer cases and their individually matched control subjects, based on the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort, to determine whether there was an altered pancreatic cancer risk associated with H. pylori infection and chronic corpus atrophic gastritis. Conditional logistic regression models were applied to calculate odds ratios (ORs) and corresponding 95% confidence intervals (CIs), adjusted for matching factors and other potential confounders. Our results showed that pancreatic cancer risk was neither associated with H. pylori seropositivity (OR = 0.96; 95% CI: 0.70, 1.31) nor CagA seropositivity (OR = 1.07; 95% CI: 0.77, 1.48). We also did not find any excess risk among individuals seropositive for H. pylori but seronegative for CagA, compared with the group seronegative for both antibodies (OR = 0.94; 95% CI: 0.63, 1.38). However, we found that chronic corpus atrophic gastritis was non-significantly associated with an increased pancreatic cancer risk (OR = 1.35; 95% CI: 0.77, 2.37), and although based on small numbers, the excess risk was particularly marked among individuals seronegative for both H. pylori and CagA (OR = 5.66; 95% CI: 1.59, 20.19, p value for interaction < 0.01). Our findings provided evidence supporting the null association between H. pylori infection and pancreatic cancer risk in western European populations. However, the suggested association between chronic corpus atrophic gastritis and pancreatic cancer risk warrants independent verification in future studies, and, if confirmed, further studies on the underlying mechanisms.

Matèries

Helicobacteri pilòric, Malalties cròniques, Gastritis, Càncer de pàncrees, Estudi de casos, Europa

Matèries (anglès)

Helicobacter pylori, Chronic diseases, Gastritis, Pancreas cancer, Case studies, Europe

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Articles publicats en revistes (Ciències Clíniques)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

Citació

HUANG, Jiaqi, ZAGAI, Ulrika, HALLMANS, Göran, NYRÉN, Olof, ENGSTRAND, Lars, STOLZENBERG-SOLOMON, Rachael z., DUELL, Eric j., OVERVAD, Kim, KATZKE, Verena, KAAKS, Rudolf, JENAB, Mazda, PARK, Jing young, MURILLO, Raul, TRICHOPOULOU, Antonia, LAGIOU, Pagona, BAMIA, Christina, BRADBURY, Kathryn e., RIBOLI, Elio, AUNE, Dagfinn, TSILIDIS, Konstantinos k., CAPELLÁ, G. (gabriel), AGUDO, Antonio, KROGH, Vittorio, PALLI, Domenico, PANICO, Salvatore, WEIDERPASS, Elisabete, TJØNNELAND, Anne, OLSEN, Anja, MARTÍNEZ, Begoña, REDONDO SÁNCHEZ, Daniel, CHIRLAQUE, María dolores, PEETERS, Petra h. m., REGNÉR, Sara, LINDKVIST, Björn, NACCARATI, Alessio, ARDANAZ, Eva, DORRONSORO, Miren, LARRAÑAGA, Nerea, REBOURS, Vinciane, BARRÉ, Amélie. Helicobacter pylori infection, chronic corpus atrophic gastritis and pancreatic cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort: a nested case-control study. _International Journal of Cancer_. 2017. Vol. 140, núm. 8, pàgs. 1727-1735. [consulta: 23 de gener de 2026]. ISSN: 0020-7136. [Disponible a: https://hdl.handle.net/2445/129780]

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