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Abstract 


Biopsy specimens were taken from intact areas of antral mucosa in 53 consecutive highlanders presenting for gastroscopy. Spiral or curved bacilli were demonstrated in 31 patients (58%). Campylobacter pylori was cultured from 17 patients (32%). The bacteria were present in 16 (76%) of the 21 patients with gastric ulcer. Histological studies carried out in 25 patients showed gastritis in 21 (84%) and the bacteria were present in all 8 cases of active chronic gastritis and in 5 of 13 cases (38%) of chronic gastritis. These results suggest that infection may play an important role in the aetiology of gastritis and gastric ulcer in Papua New Guinea.

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