ABSTRACT
AIMS: The aim of this work is to investigate the accuracy of the urea breath test (UBT) performed immediately after emergency endoscopy in peptic ulcer bleeding (PUB). METHODS: Urea breath test was carried out right after emergency endoscopy in patients with PUB. The accuracy of this early UBT was compared to a delayed one after hospital discharge that was considered the gold standard. Clinical and epidemiological factors were analyzed in order to study their influence on the accuracy of the early UBT. RESULTS: Early UBT was collected without any complication and good acceptance from all the 74 patients included. In 53 of the patients (71.6%), a delayed UBT was obtained. Comparing concordance between the two tests we have calculated an accuracy of 83% for the early UBT. Sensibility and specificity were 86.36 and 66%, respectively, with a positive predictive value of 92.68% and negative predictive value of 50% (Kappa index = 0.468; p = 0.0005; CI: 95%). We found no influence of epidemiological factors, clinical presentation, drugs, times to gastroscopy, Forrest classification, endoscopic therapy, hemoglobin, and urea levels over the accuracy of early UBT. CONCLUSIONS: Urea breath test carried out right after emergency endoscopy in PUB is an effective, safe, and easy-to-perform procedure. The accuracy of the test is not modified by clinical or epidemiological factors, ulcer stage, or by the type of therapy applied. However, we have found a low negative predictive value for early UBT, so a delayed test is mandatory for all negative cases.
Subject(s)
Breath Tests/methods , Emergency Service, Hospital , Endoscopy, Gastrointestinal , Gastrointestinal Hemorrhage/surgery , Helicobacter Infections/diagnosis , Peptic Ulcer/surgery , Urea/metabolism , Adult , Aged , Aged, 80 and over , Female , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Tract/microbiology , Helicobacter Infections/complications , Helicobacter Infections/metabolism , Helicobacter pylori/isolation & purification , Humans , Male , Middle Aged , Peptic Ulcer/etiology , Predictive Value of Tests , Prospective Studies , Reproducibility of ResultsABSTRACT
Se presenta el caso de una paciente de cuatro meses de edad de la raza blanca y de procedencia rural, que ingresa por presentar lesiones granulomatosas en la vulva, acompañada de secreción mucosoanguinolenta; al examen microscópico de las secreciones, se observó la presencia de Endamoeba histolytica. Se concluye que la niña era portadora de amebiasis(AU)
Subject(s)
INFORME DE CASO , Humans , Female , Infant , Amebiasis/diagnosis , Vulvar Diseases/diagnosis , Entamoeba histolytica/microbiologyABSTRACT
Se estudió el caso de un niño de 9 años de edad, de la raza negra, el cual presenta las caracterésticas clínicas, radilógicas y bioquímicas de una homocistinuria, resultado ser el tercer caso ocurrido en la raza negra descrito en la literatura, y el primero en nuestro país(AU)
