LOW DOSE CAPSULE BASED 13C-UREA BREATH TEST COMPARED WITH THE CONVENTIONAL 13C-UREA BREATH TEST AND INVASIVE TESTS

Arquivos de Gastroenterologia

Rejane Mattar¹  Cibele Aparecida Villares¹  Priscila Faria França Marostegam¹  Cleuber Esteves Chaves¹  Vanusa Barbosa Pinto¹  Flair José Carrilho¹ 

关键词: Helicobacter pylori;    Breath Test;    Urea;    analysis;    Helicobacter pylori;    Testes respiratórios;    Ureia;    análise;   

DOI  :  10.1590/S0004-28032014000200012

来源: SciELO

【 摘 要 】

ContextOne of the limitations of 13C-urea breath test forHelicobacter pylori infection diagnosis in Brazil is the substrate acquisition in capsule presentation.ObjectivesThe purpose of this study was to evaluate a capsule-based13C-urea, manipulated by the Pharmacy Division, for the clinical practice.MethodsFifty patients underwent the conventional and the capsule breath test. Samples were collected at the baseline and after 10, 20 and 30 minutes of 13C-urea ingestion. Urease and histology were used as gold standard in 83 patients.ResultsIn a total of 50 patients, 17 were positive with the conventional13C-urea (75 mg) breath test at 10, 20 and 30 minutes. When these patients repeated breath test with capsule (50 mg), 17 were positive at 20 minutes and 15 at 10 and 30 minutes. The relative sensitivity of13C-urea with capsule was 100% at 20 minutes and 88.24% at 10 and at 30 minutes. The relative specificity was 100% at all time intervals. Among 83 patients that underwent capsule breath test and endoscopy the capsule breath test presented 100% of sensitivity and specificity.ConclusionsCapsule based breath test with 50 mg 13C-urea at twenty minutes was found highly sensitive and specific for the clinical setting. HEADINGS- Helicobacter pylori. Breath Test. Urea, analysis.

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