Diagnosis of Helicobacter pylori infection

Wiener klinische Wochenschrift - Tập 130 - Trang 530-534 - 2018
Ante Tonkic1,2, Jonatan Vukovic1,2, Pavle Vrebalov Cindro2, Valdi Pesutic Pisac1,3, Marija Tonkic1,4
1School of Medicine, University of Split, Split, Croatia
2Department of Gastroenterology and Hepatology, University Hospital of Split, Split, Croatia
3Department of Pathology, University Hospital of Split, Split, Croatia
4Department of Clinical Microbiology, University Hospital of Split, Split, Croatia

Tóm tắt

Helicobacter pylori infections represent an important factor in the pathogenesis of chronic gastritis, peptic ulcer, MALT lymphoma and gastric adenocarcinoma. The recently published Maastricht V/Florence consensus report indicated that the urea breath test using 13 C urea still remains the best non-invasive test to diagnose H. pylori infections with high sensitivity and specificity. Among the stool antigen tests, the ELISA monoclonal antibody test is a rational option. Effective therapy should be based only on susceptibility testing in regions with documented high clarithromycin resistance (>15%). Advanced high-resolution endoscopic technologies enable increased diagnostic accuracy for detection of H. pylori infections.

Tài liệu tham khảo

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