Question Title: Can one have H.pylori if a total gastrectomy has been done ?

Forum: The Gastroenterology and Liver Diseases Forum
Topic: H. Pylori

Topic Area: H. Pylori
I had a total gastrectomy 7 years ago for gastric lymphoma, probably in part caused by H.pylori (It was a MALT lymphoma). I have never been treated for H.Pylori and wondered if it can exist in the intestine, and could that be harmful?

Dear Jane,

Helicobacter pylori is trophic for gastric epithelium. That means it is attracted to and grows best in the stomach. Infrequently, gastric epithelium can be found outside the stomach. This more commonly occurs in the first portion of the small intestine called the duodenum. Rarely, stomach epithelium can be found in a condition called Meckel's diverticulum. If you had a total gastrectomy it is possible that part of the duodenum has been removed. Nevertheless, after having said all that, it may be prudent to obtain a blood test to check for the continued presence of Helicobacter pylori infection and undergo treatment if still present. I hope you find this information helpful.

This response is being provided for general informational purposes only and should not be considered medical advice or consultation. Always check with your personal physician when you have a question pertaining to your health.

If you would like to be seen at our institution please call 1-800-653-6568, our Referring Physicians’ Office and make an appointment to see Dr. Muszkat, one of our experts in Gastroenterology.

HFHSM.D.-ym
*Keywords: Helicobacter pylori, MALT lymphoma

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