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 journalArticlepeer-review

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.

Translated title of the contributionNon-invasive diagnosis of Helicobacter pylori infection in the 2006 clinical practice
Original languageItalian
Pages (from-to)19-24
Number of pages6
JournalMinerva Medica
Volume97
Issue number1
Publication statusPublished - Feb 2006

ASJC Scopus subject areas

  • Medicine(all)

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