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Cited by 305

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Predictive factors for regression of gastric MALT lymphoma after anti- Helicobacter pylori treatment

Open access
Ruskoné-Fourmestraux, A, Lavergne, A, Aegerter, P H, Megraud, F, Palazzo, L, de Mascarel, A, Molina, T, Rambaud, J-C L, the Groupe d'Étude des Lymphomes Digestifs (GELD† h·2001·Gut

Abstract

BACKGROUND AND AIMS: Discrepant remission rates (41–100%) have been reported for patients with localised low grade gastric mucosa associated lymphoid tissue (MALT) lymphoma after eradication of Helicobacter pylori . The aim of this study was to explain these discrepancies and to determine the predictive factors of gastric lymphoma regression after anti- H pylori treatment. PATIENTS AND METHODS: Forty six consecutive patients with localised gastric MALT lymphoma (Ann Arbor stages I E and II E ) were prospectively enrolled. All had gastric endoscopic ultrasonography and H pylori status assessment (histology, culture, polymerase chain reaction, and serology). After anti- H pylori treatment, patients were re-examined every four months. RESULTS: Histological regression of the lymphoma was complete in 19/44 patients (43%) (two lost to follow up). Median follow up time for these 19 responders was 35 months (range 10–47). No regression was noted in the 10 H pylori negative patients. Among the 34 H pylori positive patients, the H pylori eradication rate was 100%; complete regression rate of the lymphoma increased from 56% (19/34) to 79% (19/24) when there was no nodal involvement at endoscopic ultrasonography. There was a significant difference between the response of the lymphoma restricted to the mucosa and other more deep seated lesions (p<0.006). However, using multivariate analysis, the only predictive factor of regression was the absence of nodal involvement (p<0.0001). CONCLUSION: In H pylori positive patients with localised gastric MALT lymphoma, carefully evaluated and treated without any lymph node involvement assessed by endoscopic ultrasonography, complete remission of lymphoma was reached in 79% of cases.

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Metadata

Authors
Ruskoné-Fourmestraux, A., Lavergne, A., Aegerter, P. H., Megraud, F., Palazzo, L., de Mascarel, A., Molina, T., Rambaud, J.-C. L., & h, T. G. D. D. L. D. (.
Venue
Gut
Publisher
BMJ
Published
2001-03-01
Volume
48
Issue
3
Pages
297-303
ISSN
  • 0017-5749 (ISSN-L)
  • 1468-3288
OpenAlex
W2158874809
Cited by
305
References
18
FWCI
23.91
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Predictive factors for regression of gastric MALT lymphoma after anti- Helicobacter pylori treatment. https://app.cochat.ai/papers/10.1136/gut.48.3.297
The paper
Ruskoné-Fourmestraux, A., Lavergne, A., Aegerter, P. H., Megraud, F., Palazzo, L., de Mascarel, A., Molina, T., Rambaud, J.-C. L., & h, T. G. D. D. L. D. (. (2001). Predictive factors for regression of gastric MALT lymphoma after anti- Helicobacter pylori treatment. Gut. https://doi.org/10.1136/gut.48.3.297

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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