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Pediatría (Asunción)

On-line version ISSN 1683-9803


COUCHONAL, Eduardo; CORRALES, Bernardita  and  GARCETE, Lidia. Helicobacter pylori in children with celiac disease. Epidemiological and clinical findings. Pediatr. (Asunción) [online]. 2020, vol.47, n.3, pp.139-144. ISSN 1683-9803.


In developing countries, Helicobacter pylori (HP) prevalences of up to 80% have been described. Its impact on celiac patients is controversial, but there are indications that it could aggravate the celiac condition. The association between the two has not been confirmed. In our setting, socio-environmental factors could favor a high prevalence of HP.


To describe the prevalence of HP infection in a pediatric population with celiac disease (CD).

Materials and Methods:

this was an observational, retrospective and cross-sectional study reviewing clinical records and biopsy results of patients undergoing upper gastrointestinal endoscopy for clinical and laboratory suspicion (positive serological markers) of celiac disease in the Department of Gastroenterology of the Pediatric Service of the University Hospital.


50 gastric and duodenal biopsy samples were included in the study. All met histological criteria for CD, in 9 patients (18%) the presence of HP was observed. No significant differences were found in socio-environmental aspects or in terms of prevalence of malnutrition and anemia when comparing CD with and without HP. The presence of abdominal distention is striking as a significant finding in CD with HP. Active chronic gastritis was the prevalent histological finding (89%) in CD with HP +.


The prevalence of HP in celiac children was 18%, lower than expected, although it was consistent with a previous national report.

Keywords : Helicobacter pylori; celiac disease; prevalence.

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