Open Access : United Rapid Urease Test Is Superior than Separate Test in Detecting Helicobacter pylori at the Gastric Antrum and Body Specimens

Background/Aims: The rapid urease test (RUT) is an invasive method to diagnose Helicobacter pylori infection, which relies on the acquisition and examination of gastric antrum and body tissues. We determined and compared the efficacy of RUT when the tissues were examined separately or after being co...

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Veröffentlicht in:Clinical endoscopy 2012-12, Vol.45 (4), p.392
Hauptverfasser: Sung Woon Moon, Tae Hyo Kim, Hyeon Sik Kim, Ji Hyeon Ju, Yeon Jeong Ahn, Hyun Jeong Jang, Sang Goon Shim, Hyun Jin Kim, Woon Tae Jung, Ok Jae Lee
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container_end_page
container_issue 4
container_start_page 392
container_title Clinical endoscopy
container_volume 45
creator Sung Woon Moon
Tae Hyo Kim
Hyeon Sik Kim
Ji Hyeon Ju
Yeon Jeong Ahn
Hyun Jeong Jang
Sang Goon Shim
Hyun Jin Kim
Woon Tae Jung
Ok Jae Lee
description Background/Aims: The rapid urease test (RUT) is an invasive method to diagnose Helicobacter pylori infection, which relies on the acquisition and examination of gastric antrum and body tissues. We determined and compared the efficacy of RUT when the tissues were examined separately or after being combined. Methods: Two hundred and fourteen patients were included and underwent esophagogastroduodenoscopy from July 2008 to June 2010. The separate test was defined as evaluating the status of infectivity of H. pylori from the antrum and body separately; whereas the united test was carried out putting both tissues from the antrum and body in the same RUT kit. All RUTs were read by a single observer 1, 3, 6, 12, and up to 24 hours later. We also got two biopsy specimens stained with hematoxylin and eosin and quantified H. pylori density was calculated on a scale of 0 to 3. Results: Overall positivity for H. pylori was 137 (64%) for the separate test and 148 (69.2%) for the united test (p
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We determined and compared the efficacy of RUT when the tissues were examined separately or after being combined. Methods: Two hundred and fourteen patients were included and underwent esophagogastroduodenoscopy from July 2008 to June 2010. The separate test was defined as evaluating the status of infectivity of H. pylori from the antrum and body separately; whereas the united test was carried out putting both tissues from the antrum and body in the same RUT kit. All RUTs were read by a single observer 1, 3, 6, 12, and up to 24 hours later. We also got two biopsy specimens stained with hematoxylin and eosin and quantified H. pylori density was calculated on a scale of 0 to 3. Results: Overall positivity for H. pylori was 137 (64%) for the separate test and 148 (69.2%) for the united test (p&lt;0.01). The mean time to a positive test was 3.58 hours for the separate test and 1.69 hours for the united test (p&lt;0.01). The correlation between the time to positive RUT and the severity of histology showed r=+0.556 for the antrum (p&lt;0.01) and r=+0.622 for the body (p&lt;0.01). Conclusions: Combining tissues prior to RUT enhances the detection of H. pylori, as compared with the examination of separate tissues, and shortens the time to develop a positive reaction by approximately 50%. These diagnostic advantages are also accompanied by increased cost-savings.</description><identifier>ISSN: 2234-2400</identifier><language>kor</language><publisher>대한소화기내시경학회</publisher><subject>Helicobacter pylori ; Rapid urease test ; United test</subject><ispartof>Clinical endoscopy, 2012-12, Vol.45 (4), p.392</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids></links><search><creatorcontrib>Sung Woon Moon</creatorcontrib><creatorcontrib>Tae Hyo Kim</creatorcontrib><creatorcontrib>Hyeon Sik Kim</creatorcontrib><creatorcontrib>Ji Hyeon Ju</creatorcontrib><creatorcontrib>Yeon Jeong Ahn</creatorcontrib><creatorcontrib>Hyun Jeong Jang</creatorcontrib><creatorcontrib>Sang Goon Shim</creatorcontrib><creatorcontrib>Hyun Jin Kim</creatorcontrib><creatorcontrib>Woon Tae Jung</creatorcontrib><creatorcontrib>Ok Jae Lee</creatorcontrib><title>Open Access : United Rapid Urease Test Is Superior than Separate Test in Detecting Helicobacter pylori at the Gastric Antrum and Body Specimens</title><title>Clinical endoscopy</title><addtitle>Clinical Endoscopy</addtitle><description>Background/Aims: The rapid urease test (RUT) is an invasive method to diagnose Helicobacter pylori infection, which relies on the acquisition and examination of gastric antrum and body tissues. 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The correlation between the time to positive RUT and the severity of histology showed r=+0.556 for the antrum (p&lt;0.01) and r=+0.622 for the body (p&lt;0.01). Conclusions: Combining tissues prior to RUT enhances the detection of H. pylori, as compared with the examination of separate tissues, and shortens the time to develop a positive reaction by approximately 50%. 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The correlation between the time to positive RUT and the severity of histology showed r=+0.556 for the antrum (p&lt;0.01) and r=+0.622 for the body (p&lt;0.01). Conclusions: Combining tissues prior to RUT enhances the detection of H. pylori, as compared with the examination of separate tissues, and shortens the time to develop a positive reaction by approximately 50%. These diagnostic advantages are also accompanied by increased cost-savings.</abstract><pub>대한소화기내시경학회</pub><tpages>5</tpages></addata></record>
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subjects Helicobacter pylori
Rapid urease test
United test
title Open Access : United Rapid Urease Test Is Superior than Separate Test in Detecting Helicobacter pylori at the Gastric Antrum and Body Specimens
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