PMID- 24714139 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211021 IS - 1108-7471 (Print) IS - 1792-7463 (Electronic) IS - 1108-7471 (Linking) VI - 25 IP - 2 DP - 2012 TI - Effects of Helicobacter pylori infection and long-term proton pump inhibitor use on enterochromaffin-like cells. PG - 123-127 AB - BACKGROUND: Excessive release of gastrin leads to hypertrophy and hyperplasia of enterochromaffin-like cells (ECL) and prolonged stimulation of these cells causes functional impairment. The purpose of this study was to investigate the effect of Helicobacter pylori (H. pylori) infection and long-term proton pump inhibitors (PPI) use on ECL cells. METHODS: Fifteen patients who underwent endoscopy because of dyspeptic symptoms were enrolled in the present study. Biopsies were taken from corpus and antrum and existence of H. pylori was investigated with culture, cytology and CLOtest. The patients were divided into 3 groups. Group-A: H. pylori-negative, never treated previously with PPI; Group-B: H. pylori-positive, never treated previously with PPI; and group-C: H. pylori-negative and continuously treated with PPI for more than 6 months before the subject recruitment period. The features of ECL cell in oxyntic glands were examined with electron microscopy on biopsy specimens. RESULTS: ECL cells were completely normal in Group A. In group B, moderate hyperplasia and vacuolization was seen in ECL cells. In group C, ECL cell hyperplasia was observed and vacuoles with greater amounts of granules in enlarged vesicles were found more intensely in cytoplasm. CONCLUSION: The use of PPI for a long period of time and presence of H. pylori infection are risk factors for ECL hyperplasia. FAU - Bektas, Mehmet AU - Bektas M AD - Department of Gastroenterology (Mehmet Bektas, Hulya Cetinkaya, Murat Toruner, Onur Keskin, Irfan Soykan, Esen Ismet Oktay, Esin Korkut, Yusuf Ustun, Kadir Bahar). FAU - Sarac, Nursen AU - Sarac N AD - Department of Histology and Embryology (Nursen Sarac, Esra Erdemli), Ankara University School of Medicine. FAU - Cetinkaya, Hulya AU - Cetinkaya H AD - Department of Gastroenterology (Mehmet Bektas, Hulya Cetinkaya, Murat Toruner, Onur Keskin, Irfan Soykan, Esen Ismet Oktay, Esin Korkut, Yusuf Ustun, Kadir Bahar). FAU - Toruner, Murat AU - Toruner M AD - Department of Gastroenterology (Mehmet Bektas, Hulya Cetinkaya, Murat Toruner, Onur Keskin, Irfan Soykan, Esen Ismet Oktay, Esin Korkut, Yusuf Ustun, Kadir Bahar). FAU - Erdemli, Esra AU - Erdemli E AD - Department of Histology and Embryology (Nursen Sarac, Esra Erdemli), Ankara University School of Medicine. FAU - Keskin, Onur AU - Keskin O AD - Department of Gastroenterology (Mehmet Bektas, Hulya Cetinkaya, Murat Toruner, Onur Keskin, Irfan Soykan, Esen Ismet Oktay, Esin Korkut, Yusuf Ustun, Kadir Bahar). FAU - Soykan, Irfan AU - Soykan I AD - Department of Gastroenterology (Mehmet Bektas, Hulya Cetinkaya, Murat Toruner, Onur Keskin, Irfan Soykan, Esen Ismet Oktay, Esin Korkut, Yusuf Ustun, Kadir Bahar). FAU - Oktay, Esen Ismet AU - Oktay EI AD - Department of Gastroenterology (Mehmet Bektas, Hulya Cetinkaya, Murat Toruner, Onur Keskin, Irfan Soykan, Esen Ismet Oktay, Esin Korkut, Yusuf Ustun, Kadir Bahar). FAU - Korkut, Esin AU - Korkut E AD - Department of Gastroenterology (Mehmet Bektas, Hulya Cetinkaya, Murat Toruner, Onur Keskin, Irfan Soykan, Esen Ismet Oktay, Esin Korkut, Yusuf Ustun, Kadir Bahar). FAU - Ustun, Yusuf AU - Ustun Y AD - Department of Gastroenterology (Mehmet Bektas, Hulya Cetinkaya, Murat Toruner, Onur Keskin, Irfan Soykan, Esen Ismet Oktay, Esin Korkut, Yusuf Ustun, Kadir Bahar). FAU - Bahar, Kadir AU - Bahar K AD - Department of Gastroenterology (Mehmet Bektas, Hulya Cetinkaya, Murat Toruner, Onur Keskin, Irfan Soykan, Esen Ismet Oktay, Esin Korkut, Yusuf Ustun, Kadir Bahar). LA - eng PT - Journal Article PL - Greece TA - Ann Gastroenterol JT - Annals of gastroenterology JID - 101121847 PMC - PMC3959398 OTO - NOTNLM OT - Enterochromaffin-like cells OT - Helicobacter pylori infection OT - proton pump inhibitors COIS- Conflict of Interest: None EDAT- 2012/01/01 00:00 MHDA- 2012/01/01 00:01 PMCR- 2012/01/01 CRDT- 2014/04/10 06:00 PHST- 2011/11/07 00:00 [received] PHST- 2012/02/13 00:00 [accepted] PHST- 2014/04/10 06:00 [entrez] PHST- 2012/01/01 00:00 [pubmed] PHST- 2012/01/01 00:01 [medline] PHST- 2012/01/01 00:00 [pmc-release] AID - AnnGastroenterol-25-123 [pii] PST - ppublish SO - Ann Gastroenterol. 2012;25(2):123-127.