Breath test diagnosis of helicobacter pylori in peptic ulcer disease

A noninvasive primary care option

Michael W. Felz

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background: Helicobacter pylori is implicated as the causative agent for most duodenal and gastric ulcers. Invasive (endoscopy and biopsy) and noninvasive (serology, breath test) methods are currently available for definitive diagnosis of infectious peptic ulcer disease. Methods: Twenty-six patients with chronic gastritis symptoms underwent upper endoscopy, biopsy, rapid urease test, and [14C]urea breath test for the detection of H pylori. Results: Twenty of 26 patients (77 percent) had biopsy-proved H pylori infection. All 20 (100 percent) with definite H pylori proved by invasive diagnosis had strongly positive results on urea breath test. Six patients with absence of H pylori on biopsy had negative urea breath test results. The urea breath test displayed 100 percent sensitivity, specificity, and predictive value compared with endoscopy and biopsy. Conclusions: [14C]Urea breath testing is comparable to endoscopy and biopsy in the diagnosis of H pylori infection and could become useful in primary care settings for noninvasive evaluation of peptic ulcer disease.

Original languageEnglish (US)
Pages (from-to)385-389
Number of pages5
JournalJournal of the American Board of Family Practice
Volume10
Issue number6
StatePublished - Dec 1 1997

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Breath Tests
Peptic Ulcer
Helicobacter pylori
Pylorus
Primary Health Care
Urea
Biopsy
Endoscopy
Urease
Gastritis
Serology
Stomach Ulcer
Duodenal Ulcer
Infection
Sensitivity and Specificity

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Breath test diagnosis of helicobacter pylori in peptic ulcer disease : A noninvasive primary care option. / Felz, Michael W.

In: Journal of the American Board of Family Practice, Vol. 10, No. 6, 01.12.1997, p. 385-389.

Research output: Contribution to journalArticle

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