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Capsule 13C-urea breath test for the diagnosis of Helicobacter pylori infection
Authors:Peng Nan-Jing  Lai Kwok-Hung  Liu Ren-Shyan  Lee Shui-Cheng  Tsay Daw-Guey  Lo Ching-Chu  Tseng Huei-Hwa  Huang Wen-Keui  Lo Gin-Ho  Hsu Ping-I
Affiliation:1. Department of Nuclear Medicine,Kaohsiung Veterans General Hospital,Kaohsiung,Taiwan,China
2. Division of Gastroenterology,Department of Internal Medicine,Kaohsiung Veterans General Hospital,Kaohsiung,Taiwan,China
3. Department of Nuclear Medicine,Taipei Veterans General Hospital and National Yang-Ming University,Taipei,Taiwan,China
4. Institute of Nuclear Energy Research,Taoyuan,Taiwan,China
5. Department of Pathology and Laboratory Medicine,Kaohsiung Veterans General Hospital,Kaohsiung,Taiwan,China
Abstract:AIM: To compare the accuracy of capsule 13C-urea breath test (UBT) with conventional invasive methods for the diagnosis of Helicobacter pylori infection. METHODS: One hundred patients received CLO test, histological examination, culture and 100- or 50-mg capsule UBT for the diagnosis of H pylori infection. H pylori infection was defined as those with positive culture or positive results from both histology and CLO test. RESULTS: Both the sensitivity and specificity of the 100-mg capsule UBT (n=50) were 100%. The sensitivity and specificity of the 50-mg capsule UBT (n = 50) were 96.4 and 100%, respectively. Taken together, the accuracy of capsule UBT (n =100) was higher than that of CLO test, histology and culture (100% vs 92%, 91% and 89%, respectively; P= 0.035, 0.018 and 0.005, respectively). Our data showed that the optimal timing of sampling for 100-and 50-mg capsule UBT was 15-30 and 6-15 min, respectively. CONCLUSION: Capsule UBT has a higher accuracy compared with biopsy-based tests. It is an ideal method for the diagnosis of H pylori infection.
Keywords:13C-urea breath test  Capsule  Helicobacter pylori  Oral urease
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