La diagnosi "non invasiva" dell'infezione da Helicobacter pylori nella pratica clinica del 2006

Translated title of the contribution: Non-invasive diagnosis of Helicobacter pylori infection in the 2006 clinical practice

R. Pellicano, M. Astegiano, A. Smedile, R. Bonardi, A. Morgando, A. Repici, M. Rizzetto

Research output: Contribution to journalArticle

Abstract

At present, 2 approaches are used to detect Helicobacter pylori (H. pylori): invasive, if based on biopsies taken during endoscopy, and non-invasive, if they do not rely on endoscopic approach. A 3rd option is offered by the string test, that employs an invasive non-endoscopic strategy. The present review attempts to update on the diagnostic non-invasive approaches to patients in the clinical setting. Non-invasive tests include urea breath test (UBT), antigen stool assay, serology, and "doctor's tests". The choice of the methods depends on the situation, for example, the clinical circumstances, the diagnostic accuracy, the costs of the testing strategy, and the availability of the tests in the respective area. According to European guidelines, UBT and antigen stool assay are recommended in patients without alarm symptoms or under 45 years of age, at low risk of malignancy in the test and treat strategy. Confirmation of H. pylori eradication following treatment should be tested by UBT; the stool antigen assay is the alternative if the former is not available.

Original languageItalian
Pages (from-to)19-24
Number of pages6
JournalMinerva Medica
Volume97
Issue number1
Publication statusPublished - Feb 2006

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Breath Tests
Helicobacter Infections
Helicobacter pylori
Urea
Antigens
Serology
Endoscopy
Guidelines
Biopsy
Costs and Cost Analysis
Neoplasms
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Pellicano, R., Astegiano, M., Smedile, A., Bonardi, R., Morgando, A., Repici, A., & Rizzetto, M. (2006). La diagnosi "non invasiva" dell'infezione da Helicobacter pylori nella pratica clinica del 2006. Minerva Medica, 97(1), 19-24.

La diagnosi "non invasiva" dell'infezione da Helicobacter pylori nella pratica clinica del 2006. / Pellicano, R.; Astegiano, M.; Smedile, A.; Bonardi, R.; Morgando, A.; Repici, A.; Rizzetto, M.

In: Minerva Medica, Vol. 97, No. 1, 02.2006, p. 19-24.

Research output: Contribution to journalArticle

Pellicano, R, Astegiano, M, Smedile, A, Bonardi, R, Morgando, A, Repici, A & Rizzetto, M 2006, 'La diagnosi "non invasiva" dell'infezione da Helicobacter pylori nella pratica clinica del 2006', Minerva Medica, vol. 97, no. 1, pp. 19-24.
Pellicano R, Astegiano M, Smedile A, Bonardi R, Morgando A, Repici A et al. La diagnosi "non invasiva" dell'infezione da Helicobacter pylori nella pratica clinica del 2006. Minerva Medica. 2006 Feb;97(1):19-24.
Pellicano, R. ; Astegiano, M. ; Smedile, A. ; Bonardi, R. ; Morgando, A. ; Repici, A. ; Rizzetto, M. / La diagnosi "non invasiva" dell'infezione da Helicobacter pylori nella pratica clinica del 2006. In: Minerva Medica. 2006 ; Vol. 97, No. 1. pp. 19-24.
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