الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
The usual indication for surgical resection of tonsils is chronic recurrent tonsillitis. Literature also does not indicate the reason behind the fact that only part of the population suffers from recurrent chronic tonsillitis in spite being exposed to similar conditions.
This cross sectional study was conducted at Otorhinolaringology Clinic in the Ismailia General hospital, Damietta general hospital and Suez Canal university hospital. This study included patients scheduled for elective tonsillectomy were recruited from Otorhinolaringology Clinic in the Ismailia General hospital, Damietta general hospital and Suez Canal university hospital. Children with positive stool antigen test for helicobacter pylori, aged 2-18 years, both sexes and scheduled for elective tonsillectomy due to recurrent or chronic tonsillitis were included in the study. Patients who had taken antibiotics, patients who had taken proton pump inhibitors, or H2receptor antagonists and antacids during a four-week period prior to surgery and patients who had an indication for tonsillectomy of a diagnosis other than chronic recurrent tonsillitis were excluded from the study. Specimens were analysed with PCR.
The current study patients had mean age of 8 years it ranged from 4 to 14 years. Females represent 60% of the study participants and males represent 40%. 67.5% of patients had chronic tonsillitis, while the others 32.5% had recurrent tonsillitis.
Clinically: Only was the most frequent reason for consultation was Odynophagia with 67.5%. We found other symptoms associated with fever (32.5%), snoring (17.5%) reflex otalgia (30%), dysphagia (30%), sleep apnea syndrome (20%) and dyspnea (10%).
Oropharyngoscopy found bilateral hypertrophy of palatine tonsils in 75%