Helicobacter pylori (Hp) is one of the most important human pathogens that can cause duodenal and gastric ulcers, gastritis and stomach cancer. Hp infection is considered to be a cause of limiting access to bariatric surgery. The aim of this study was to determine the prevalence of Hp in patients with obesity going into bariatric surgery and to reveal the relationship between Hp and clinical data. The study group was formed of 68 preoperative bariatric surgery patients (body mass index (BMI) 44.7 ± 4.8). Gastric biopsies (antrum and corpus) were used for histological and molecular (caqA and glmM genes) examinations. The PCR method revealed Hp infection in 64.7% of obese patients that is higher in comparison with histological analysis (55.9%). The prevalence of cagA and glmM genes in antrum mucosa was 45.6% and 47.0% while in the corpus it was 41.2% and 38.3%, respectively. The coincidence of both cagA and glmM virulence genes in the antrum and corpus mucosa was 33.8% and 22.1%, respectively. Either of the genes was found in 58.8% of antrum and 57.3% of corpus mucosa. Presence of caqA and glmM genes was in association with active and atrophic chronic gastritis. In conclusion, our study demonstrated that two thirds of morbidly obese patients undergoing bariatric surgery are infected with Hp and have a high prevalence of cagA and glmM virulence genes that points out the necessity for diagnostics and treatment of this infection before surgery.

The aim of this study was to compare the human intestinal microbiota in different age groups, elucidating the precise stages of life in which the gut microbiota evolves its specific characteristics in terms of composition and diversity, as well as associating different bacterial groups for prediction of their intertwined metabolic role, considering their importance in human health. The quantitative composition, Bacteroidetes/Firmicutes (B/F) ratio, counts and diversity indices of faecal samples obtained from infant, child, adult and elderly individuals were assessed via quantitative real-time polymerase chain reaction (qPCR). The intestinal microbiota of infants expressed the highest B/F ratio and diversity. The total bacteria counts, Bacteroides-Prevotella and Blautia coccoides-Eubacterium rectale groups were the most abundant in adults and infants, while child and elderly individuals presented the highest counts of Firmicutes and Lactobacillus sp. In infants, the counts of Enterococcus sp., Streptococcus sp., Enterobacteriaceae, Veillonella sp. and Clostridium perfringens groups were higher, when compared to the other age groups. The tightest positive correlations between bacteria within age groups were found for the B. coccoides-E. rectale, C. leptum (incl. Faecalibacterium prausnitzii), Bacteroidetes-Prevotella and Atopobium groups. Through the stages of life, the quantitative composition and diversity of intestinal microbiota evolves with two changing maximal peaks of predominant groups, with bacterial diversity decreasing from infant to child stage, showing unitary stabilization in adults and presenting a wide individual range in the elderly. The high counts of Bacteroidetes and Clostridium from the phylum Firmicutes, present throughout all life stages, mainly influence the composition and metabolic activity of other bacteria. Recognizing age-specific differences may provide a basis for comparing different geographic populations and predicting the intertwined metabolites of various bacteria, which have certain implications for health.