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New Egyptian Journal of Medicine [The]. 2011; 45 (3): 248-254
en Inglés | IMEMR | ID: emr-166134

RESUMEN

H.pylori was first identified and .recognized by marshal and warren in 1983 [1],recently, H.pylori antigen detection test in stool [HPS A] was reported to be a sensitive and reliable screening test for H.pylori infection as compared to urea breath test. This study was carried out on 3 groups of children aged 6 months-14 years selected from pediatric patients of Damnhour hospital. In group I [hematemesis] upper upper gastrointestinal endoscopy revealed mucosal erythema in 60% associated with antral nodularity in 4 patients. All patients who had a positive urease test [40%], had a histopathological diagnosis of chronic active full thickness gastritris. The results of endoscopic, histopathologic examination and rapid urease test in group II [RAP] showed mucosal erythema in 90% [18 patients], antral nodularity in 60% urease test was positive in 12 children [60%]. The results of HPS A showed that 30% of patients in group II had positive test. When these results were compared to the histopathologic and urease test and results of HpSA was 70%, specificity 100% +ve and -ve predictive values of 100, 75.2% respectively


Asunto(s)
Humanos , Masculino , Femenino , Helicobacter pylori/genética , Endoscopía/estadística & datos numéricos , Biopsia , Niño , Hospitales Universitarios
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