Helicobacter pylori Positivity and Risk Analysis in Patients with Abdominal Pain Complaints

TARHANE, Serdal; Anuk, Turgut; Sağlam, Aliye Gülmez; Özcan, Hacer Ece; Çoşkun, Mustafa Reha; Büyük, Fatih; Otlu, Salih

doi:10.5578/mb.68267

Cited by 4 publications

(3 citation statements)

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“…13 In another study conducted on 195 patients complaining of abdominal pain, H. pylori positivity was found to be 44.6% by gastric biopsy. 14 15 All these results were found to be lower than the results of our study, but they were conducted with a lower number of participants compared to our study.…”

Section: Discussioncontrasting

confidence: 95%

Screening of Helicobacter pylori in patients with dyspeptic complaints with the urea breath test and its usability in family medicine

Bayraktar

Dabak

2021

Turkish Journal of Family Medicine and Primary Care

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Objective: Helicobacter pylori (H.pylori) is a common cause of gastritis, peptic ulcer disease, gastric lymphoma, and gastric cancer. H.pylori positive in patients with dyspeptic complaints should be investigated in order to determine the etiology and reduce the risk of H.pylori-related malignancy. The urea breath test (UBT) is a simple, convenient, and highly accurate H.pylori screening test with excellent sensitivity and specificity. The utility of UBT as a screening test in family medicine was examined in this study, that investigated at H.pylori positive in patients with dyspeptic complaints. Method: A retrospective, cross-sectional, descriptive, single-center study was conducted. The results of the C14-UBT for H.pylori were investigated by scanning the archives of patients over the age of 18 who applied with dyspeptic complaints in an education and research hospital within a calendar year. In the evaluation of UBT results, ≥50cpm was considered positive, <25cpm negative, and 25-50cpm was considered suspicious. Results: The UBT findings of 1192 patients were included, with an acceptability rate of 83 percent. The average age of the participants was 48.7±15.3 years, with 61 percent of them being women and 39 percent being men. The UBT was 81.5cpm on average (IQR=214, min=0, max=909). According to the findings, 56 percent (n=667) of the participants tested positive for H.pylori, 43.2 percent (n=515) tested negative for H.pylori, and 0.8 percent (n=10) tested suspicious for H.pylori. Although 56.4 percent of women and 55.3 percent of males tested positive for H.pylori, there was no statistically significant difference (p>0.05). Conclusion: In this study conducted on a large group of patients, H.pylori positivity was found in 56% with the UBT. Considering this result, it has been evaluated that, in cases where the World Health Organization recommends H.pylori screening, and in patients with dyspeptic complaints but no alarm symptoms, H.pylori should be screened with urea breath test in Family Health Centers as an important preventive healthcare service.

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Section: Discussioncontrasting

confidence: 95%

Screening of Helicobacter pylori in patients with dyspeptic complaints with the urea breath test and its usability in family medicine

Bayraktar

Dabak

2021

Turkish Journal of Family Medicine and Primary Care

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“…The proportion of HP-positives in the test group was higher than that in the control group, and the difference was significant. Tarhane et al [ 32 ] evaluated 195 patients complaining of abdominal pain, and histopathological examination results showed that 83.58% of them tested positive for HP. Further, HP-positives and HP-negatives were compared for the blood loss and abdominal pain, and it was found that more HP-positives had abdominal pain compared with HP-negatives, and the difference was statistically significant ( P < 0.05).…”

Section: Discussionmentioning

confidence: 99%

Dictionary Learning-Based Ultrasound Image Combined with Gastroscope for Diagnosis of Helicobacter pylori-Caused Gastrointestinal Bleeding

Diao

Zhang

2021

Computational and Mathematical Methods in Medicine

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The study is aimed at evaluating the application value of ultrasound combined with gastroscopy in diagnosing gastrointestinal bleeding (GIB) caused by Helicobacter pylori (HP). An ultrasound combined with a gastroscopy diagnostic model based on improved K -means Singular Value Decomposition (N-KSVD) was proposed first. 86 patients with Peptic ulcer (PU) and GIB admitted to our Hospital were selected and defined as the test group, and 86 PU patients free of GIB during the same period were selected as the control group. The two groups were observed for clinical manifestations and HP detection results. The results showed that when the noise ρ was 10, 30, 50, and 70, the Peak Signal to Noise Ratio (PSNR) values of N-KSVD dictionary after denoising were 35.55, 30.47, 27.91, and 26.08, respectively, and the structure similarity index measure (SSIM) values were 0.91, 0.827, 0.763, and 0.709, respectively. Those were greater than those of DCT dictionary and Global dictionary and showed statistically significant differences versus the DCT dictionary ( P < 0.05 ). In the test group, there were 60 HP-positives and 26 HP-negatives, and there was significant difference in the numbers of HP-positives and HP-negatives ( P < 0.05 ), but no significant difference in gender and age ( P > 0.05 ). Of the subjects with abdominal pain, HP-positives accounted for 59.02% and HP-negatives accounted for 37.67%, showing significant differences ( P < 0.05 ). Finally, the size of the ulcer lesion in HP-positives and HP-negatives was compared. It was found that 71.57% of HP-positives had ulcers with a diameter of 0-1 cm, and 28.43% had ulcers with a diameter of ≥1 cm. Compared with HP-negatives, the difference was statistically significant ( P < 0.05 ). In conclusion, N-KSVD-based ultrasound combined with gastroscopy demonstrated good denoising effects and was effective in the diagnosis of GIB caused by HP.

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“…H. pylori ve eşlik ettiği hastalıklar ile ilgili çalışmalar son dönemde endoskopik olarak mukoza değerlendirmesi üzerine yoğunlaşmıştır (7)(8)(9)(10)(11). Çalışmada hastaların endoskopik bulguları açısından bakıldığında H. pylori pozitif hastalarda, daha fazla bulbusta ülser olduğu fakat istatistiki anlamlılık olmadığı gözlendi.…”

Section: Discussionunclassified

Clinical, demographic, and endoscopic characteristics of naive Helicobacter pylori positive and negative patients: A retrospective analysis

Aydın

2020

Endoskopi Gastrointestinal

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Helicobacter pylori Positivity and Risk Analysis in Patients with Abdominal Pain Complaints

Cited by 4 publications

References 0 publications

Screening of Helicobacter pylori in patients with dyspeptic complaints with the urea breath test and its usability in family medicine

Screening of Helicobacter pylori in patients with dyspeptic complaints with the urea breath test and its usability in family medicine

Dictionary Learning-Based Ultrasound Image Combined with Gastroscope for Diagnosis of Helicobacter pylori-Caused Gastrointestinal Bleeding

Clinical, demographic, and endoscopic characteristics of naive Helicobacter pylori positive and negative patients: A retrospective analysis

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