[Helicobacter pylori associated gastritis: a primary study of ammonia and urea in gastric juice and mucus in gastric mucosa].

The mucosa of 46 patients with histological chronic gastritis were cultured for helicobacter pylori (HP) and the ammonia and urea in their gastric juice were also determined. The results showed the average ammonia concentration (1.22 +/- 0.23 mmol/L) in HP positive patients was higher than that of HP negative patients (0.72 +/- 0.25 mmol/L), (P < 0.05). But the average urea concentration (0.45 +/- 0.29 mmol/L) in HP positive patients was lower than that of HP negative patients (2.71 +/- 1.20 mmol/L), (P < 0.05). The higher the level of ammonia stands, the more severe the gastritis is. (rs = 0.556). On the other hand, the quantity of mucus was elevated in 18 patients among 28 patients with HP eradicated by drug treatment, which was significantly different from the patients with HP not eradicated. It is suggested that the epithelium of gastric mucosa and the mucus are the chief components of the gastric mucosa barrier; the presence of HP increases ammonia, and thus damages the gastric epithelium and reduces the quantity of mucus. Consequently, the protective gastric mucosa barrier is damaged, and then comes the liability to HP-associated gastritis.