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World J Gastroenterol. Feb 14, 2014; 20(6): 1470-1484
Published online Feb 14, 2014. doi: 10.3748/wjg.v20.i6.1470
An association between Helicobacter pylori and upper respiratory tract disease: Fact or fiction?
Shin Kariya, Mitsuhiro Okano, Kazunori Nishizaki
Shin Kariya, Mitsuhiro Okano, Kazunori Nishizaki, Department of Otolaryngology-Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan
Author contributions: Kariya S and Okano M collected the underlying material; Kariya S wrote the initial draft of the manuscript; all authors designed the outline of the manuscript, finalized and revised the contents, and read and approved the final version of the manuscript.
Supported by JSPS KAKENHI (Grants-in-Aid for Scientific Research), No. 23791900 and No. 25462642
Correspondence to: Shin Kariya, MD, PhD, Department of Otolaryngology-Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan. skariya@cc.okayama-u.ac.jp
Telephone: 81-86-2357307 Fax: 81-86-2357308
Received: September 16, 2013
Revised: November 13, 2013
Accepted: January 6, 2014
Published online: February 14, 2014
Processing time: 154 Days and 5.8 Hours
Abstract

Helicobacter pylori (H. pylori) is a major cause of chronic gastritis and gastric ulcers and considerable evidence supports the notion that infection with this bacterium is also associated with gastric malignancy in addition to various other conditions including pulmonary, vascular and autoimmune disorders. Gastric juice infected with H. pylori might play an important role in upper respiratory tract infection. Although direct and/or indirect mechanisms might be involved in the association between H. pylori and upper respiratory tract diseases, the etiological role of H. pylori in upper respiratory tract disorders has not yet been fully elucidated. Although various studies over the past two decades have suggested a relationship between H. pylori and upper respiratory tract diseases, the findings are inconsistent. The present overview describes the outcomes of recent investigations into the impact of H. pylori on upper respiratory tract and adjacent lesions.

Keywords: Paranasal sinus; Ear; Adenoid; Oral cavity; Pharynx; Larynx; Upper respiratory tract; Cancer

Core tip: This review evaluates the role of Helicobacter pylori (H. pylori) in the upper respiratory system. Many studies have reported the presence of H. pylori in the upper respiratory tract, but their findings have varied. A definitive relationship between H. pylori and upper respiratory tract disorders has not been established, and further controlled studies are required.