Comparison of three methods based on endoscopic gastric biopsies for diagnosis of Helicobacter pylori active infection in a clinical setting

Autor: Gabriel Arismendi-Morillo, Ileana Hernández, Edgardo Mengual, Alisbeth Fuenmayor, Gisela Romero, Maribel Lizarzábal
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Arquivos de Gastroenterologia, Vol 48, Iss 3, Pp 190-194 (2011)
Druh dokumentu: article
ISSN: 1678-4219
0004-2803
68721692
DOI: 10.1590/S0004-28032011000300007
Popis: CONTEXT: The correct diagnosis and effective treatment of Helicobacter pylori gastric infection are essential in controlling this infection. OBJECTIVE: To compare the diagnostic value of three tests based in endoscopic gastric biopsies histopathological evaluation with hematoxylin-eosin (H-E) staining, urease rapid test and microbiological culture for detecting Helicobacter pylori active infection, in order to make recommendations for daily clinical practice. METHODS: Gastric biopsies from 115 adult patients (85 female/30 male) were obtained by upper gastrointestinal endoscopy and studied by histopathological evaluation with H-E (antrum-corpus), urease test in 2 hours (antrum) and microbiological culture (antrum). RESULTS: Helicobacter pylori active infection was diagnosed in 67% of patients. Helicobacter pylori active infection was detected by histopathological evaluation with H-E, urease test and microbiological culture in 87%, 79% and 70% of the positive cases, respectively. There were significant differences when histopathological evaluation with H-E and urease test rapid test when compared with microbiological test (P
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