Endoscopic features of Helicobacter pylori-related gastritis

Details

Serval ID
serval:BIB_A0B431D9779C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Endoscopic features of Helicobacter pylori-related gastritis
Journal
Endoscopy
Author(s)
Bah  A., Saraga  E., Armstrong  D., Vouillamoz  D., Dorta  G., Duroux  P., Weber  B., Froehlich  F., Blum  A. L., Schnegg  J. F.
ISSN
0013-726X (Print)
Publication state
Published
Issued date
10/1995
Volume
27
Number
8
Pages
593-6
Notes
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Oct
Abstract
BACKGROUND AND STUDY AIMS: It is still controversial whether certain endoscopic features can be used to diagnose Helicobacter pylori (Hp)-related gastritis. To clarify this issue, we performed two consecutive prospective studies. PATIENTS AND METHODS: In the first study, we tried to identify endoscopic criteria associated with Hp-related gastritis from a total of 66 predefined gastric features on endoscopy. These features were selected by a stepwise logistic regression analysis in 101 patients. The validity of these features gained from this first study was then evaluated in a second study in 86 patients (40 with Hp gastritis, 8 with Hp-unrelated gastritis and 38 with normal gastric mucosa). RESULTS: Three features, namely an abnormal antral surface texture, a mammillated corpus surface, and white antral erosions, were identified in the first study as independent predictors of Hp-related gastritis. However, the sensitivity and specificity of these three criteria, as assessed in the second study, were only 75% and 63% respectively. CONCLUSIONS: We conclude that it is not possible to diagnose Hp-related gastritis on the basis of the endoscopic appearance alone. The diagnosis should be based on other criteria, such as a rapid urease test, or a histological examination of gastric biopsies, or both.
Keywords
Adult Aged Aged, 80 and over Female Gastritis/*diagnosis/microbiology Gastroscopy Helicobacter Infections/*diagnosis *Helicobacter pylori Humans Male Middle Aged Prospective Studies Reproducibility of Results Sensitivity and Specificity
Pubmed
Web of science
Create date
25/01/2008 15:48
Last modification date
20/08/2019 15:06
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