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The association between ABO blood group distribution and peptic ulcer disease: a cross-sectional study from Ethiopia

Authors Teshome Y, Mekonen W, Birhanu Y, Sisay T

Received 26 March 2019

Accepted for publication 31 May 2019

Published 4 July 2019 Volume 2019:10 Pages 193—197


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Dr Martin Bluth

Yonas Teshome,1 Wondyefraw Mekonen,2 Yohannes Birhanu,3 Tariku Sisay4

1Department of Biomedical Sciences, College of Medicine, Debre Birhan University, Debre Birhan, Ethiopia; 2Department of Physiology, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia; 3Department of Internal Medicine Gastroenterology Unit, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia; 4Department of Biomedical Sciences, School of Medicine, College of Health Sciences, Mizan Tepi University, Mīzan Teferī, Ethiopia

Background: Studies have shown that ABO blood group antigens are associated with peptic ulcer disease (PUD). There are limited sources regarding the association of blood groups with PUD patients in Ethiopia. The aim of this study was to assess the association between ABO blood group distribution, non-steroidal anti-inflammatory drugs (NSAIDs), smoking, alcohol, coffee, and PUD at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia.
Methods: A cross-sectional study was undertaken, and a total of 63 endoscopically confirmed PUD patients and 63 healthy controls were screened for ABO blood grouping using the standard slide agglutination reaction. Stool antigens were checked to determine Helicobacter pylori status of PUD patients. Chi-square and logistic regression were used for statistical analysis.
Results: The ABO blood group distribution of PUD patients was 19.04% (12/63), 19.04% (12/63), 11.11% (7/63), 50.79% (32/63) for blood group A, B, AB, and O, respectively, while among control groups it was 25.39% (16/63), 23.80% (15/63), 12.69% (8/63), and 38.09% (24/63) for blood group A, B, AB, and O, respectively. 34.1% (22/63) of PUD patients had gastric ulcer and 65.9% (41/63) had duodenal ulcer. There was statistically a significant association between sex (p=0.001), use of NSAIDs (p=0.001), smoking cigarette (p=0.014), alcohol consumption (p=0.028), and PUD.
Conclusion: Although PUD trended as more prevalent among patients with blood group O than other blood group types their association was not statistically significant.

Keywords: ABO blood group, peptic ulcer disease, gastric ulcer, duodenal ulcer, NSAIDs

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