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BILIARY GASTRITIS AS PRECANCEROUS LESION.

*BARRIOS A.
Digestive Endoscopic Unit. Las Torres Clinic, Quetzaltenango, Guatemala, C.A.

Gastric cancer is one of the major causes of mortality in Japan, Chile and Central America. Even though their population are of diffent races and have differnent diets, they have in common that are settled on volcanic origin lands, rich in sulfur compounds, Continous oral intake of sulfur could cause severe digestive dysfunctions favoring the growin of bacteria and precancerous lesions.

METHODS.

258 patients were evaluated by gastroscopy, biopsy, and determination of bile in the gastric juice and Heliobacter pylori in biopsies. One case developed cancer.

CONCLUSIONS.

a) Excesive concentrations of sulfur compounds in diet promotes chemical reactions that produce piloric dysfunction, releasing cholecys tokinin, duodeum gastric reflux, biliary gastritis, increasing of pH values and favoring the growing of bacteria, particularly Heliobacter pylori. Chronically, those disorders eventually can produce cancer.

b) It is possible to determine the presence of biliary pigments in biopsies.

c) Propose generalize the use of term Biliary Gastritis for the Alkaline Reflux Gastritis, as in this pathology the gastric juice pH es scarcely alkaline, but bile is always present.