Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Gastric Hypochlorhydria and Achlorhydria in Older Adults

Gastric Hypochlorhydria and Achlorhydria in Older Adults To the Editor. —The article on gastric acidity in older adults by Dr Hurwitz and colleagues1 is of great interest. It is well known that hypochlorhydria does not often result in the colonization of the upper gastrointestinal tract with bacterial pathogens.2 However, hypochlorhydria due to atrophic gastritis can result in malabsorption of food-bound vitamin B12, and this continues to be a public health concern.3,4 We studied the prevalence of atrophic gastritis in a white elderly population approximately 12 years ago and found the overall prevalence of atrophic gastritis in those older than 60 years to be approximately 30%.5 This contrasts with the 9% prevalence of atrophic gastritis in the Midwest population in the present study using the same criterion for diagnosis.1 Unlike the study by Hurwitz et al, our study found the prevalence of atrophic gastritis to increase with advancing age. In Boston, Mass http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Gastric Hypochlorhydria and Achlorhydria in Older Adults

JAMA , Volume 278 (20) – Nov 26, 1997

Gastric Hypochlorhydria and Achlorhydria in Older Adults

Abstract



To the Editor.
—The article on gastric acidity in older adults by Dr Hurwitz and colleagues1 is of great interest. It is well known that hypochlorhydria does not often result in the colonization of the upper gastrointestinal tract with bacterial pathogens.2 However, hypochlorhydria due to atrophic gastritis can result in malabsorption of food-bound vitamin B12, and this continues to be a public health concern.3,4
We studied the prevalence of...
Loading next page...
 
/lp/american-medical-association/gastric-hypochlorhydria-and-achlorhydria-in-older-adults-0WFbCRpwJ2
Publisher
American Medical Association
Copyright
Copyright © 1997 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1997.03550200035022
Publisher site
See Article on Publisher Site

Abstract

To the Editor. —The article on gastric acidity in older adults by Dr Hurwitz and colleagues1 is of great interest. It is well known that hypochlorhydria does not often result in the colonization of the upper gastrointestinal tract with bacterial pathogens.2 However, hypochlorhydria due to atrophic gastritis can result in malabsorption of food-bound vitamin B12, and this continues to be a public health concern.3,4 We studied the prevalence of atrophic gastritis in a white elderly population approximately 12 years ago and found the overall prevalence of atrophic gastritis in those older than 60 years to be approximately 30%.5 This contrasts with the 9% prevalence of atrophic gastritis in the Midwest population in the present study using the same criterion for diagnosis.1 Unlike the study by Hurwitz et al, our study found the prevalence of atrophic gastritis to increase with advancing age. In Boston, Mass

Journal

JAMAAmerican Medical Association

Published: Nov 26, 1997

There are no references for this article.