Increasing detection rate of Helicobacter pylori infection in nonvariceal upper gastrointestinal bleeding patients by adding histology to the rapid urease test: An experience from Lampang Hospital
Chiang Mai Medical Journal (Formerly Chiang Mai Medical Bulletin) is an official journal of the Faculty of Medicine, Chiang Mai University. It accepts original papers on clinical and experimental research that are pertinent in the biomedical sciences. The Journal is published 4 issues/year (i.e., Ma...
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Faculty of Medicine, Chiang Mai University
2019
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| Online Access: | https://www.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/106653/84414 http://cmuir.cmu.ac.th/jspui/handle/6653943832/65072 |
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th-cmuir.6653943832-650722019-05-07T10:02:39Z Increasing detection rate of Helicobacter pylori infection in nonvariceal upper gastrointestinal bleeding patients by adding histology to the rapid urease test: An experience from Lampang Hospital การตรวจทางพยาธิวิทยาช่วยเพิ่มอัตราการตรวจพบเชื้อเฮลิโคแบคเตอร์ ไพลอรีในผู้ป่วย เลือดออกในทางเดินอาหารส่วนต้นจากที่ตรวจด้วยการหายูรีเอสเอนไซม์แบบเร็วเท่านั้น: ประสบการณ์จากโรงพยาบาลลําปาง Charan Pankongngam Chiang Mai Medical Journal (Formerly Chiang Mai Medical Bulletin) is an official journal of the Faculty of Medicine, Chiang Mai University. It accepts original papers on clinical and experimental research that are pertinent in the biomedical sciences. The Journal is published 4 issues/year (i.e., Mar, Jun, Sep, and Dec). Objective To evaluate the detection rate of H. pylori in upper gastrointestinal bleeding (UGIB) patients using the rapid urease test (RUT) alone and in combination with histology. Methods A prospective study of nonvariceal UGIB patients at the Internal Medicine Ward at Lampang Hospital from January to September 2016. Esophagogastroduodenoscopy (EGD) was performed and biopsy samples from the gastric body and the antrum were collected for RUT and histology to detect H. pylori infection. Detection rates with both strategies alone and in combination were compared using exact probability test. Results The detection rate of H. pylori infection was 20.7% with RUT alone, 24.8% with histology alone, and 34.5% with a combination of histology and RUT (p =0.006). Conclusions The detection rate of H. pylori infection among nonvariceal UGIB patients can be increased by adding histology to RUT, especially when RUT is negative. This strategy should be introduced universally to improve overall H. pylori detection rate. 2019-05-07T10:02:39Z 2019-05-07T10:02:39Z 2017 บทความวารสาร 0125-5983 https://www.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/106653/84414 http://cmuir.cmu.ac.th/jspui/handle/6653943832/65072 Eng Faculty of Medicine, Chiang Mai University |
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Chiang Mai Medical Journal (Formerly Chiang Mai Medical Bulletin) is an official journal of the Faculty of Medicine, Chiang Mai University. It accepts original papers on clinical and experimental research that are pertinent in the biomedical sciences. The Journal is published 4 issues/year (i.e., Mar, Jun, Sep, and Dec). |
| format |
บทความวารสาร |
| author |
Charan Pankongngam |
| spellingShingle |
Charan Pankongngam Increasing detection rate of Helicobacter pylori infection in nonvariceal upper gastrointestinal bleeding patients by adding histology to the rapid urease test: An experience from Lampang Hospital |
| author_facet |
Charan Pankongngam |
| author_sort |
Charan Pankongngam |
| title |
Increasing detection rate of Helicobacter pylori infection in nonvariceal upper gastrointestinal bleeding patients by adding histology to the rapid urease test: An experience from Lampang Hospital |
| title_short |
Increasing detection rate of Helicobacter pylori infection in nonvariceal upper gastrointestinal bleeding patients by adding histology to the rapid urease test: An experience from Lampang Hospital |
| title_full |
Increasing detection rate of Helicobacter pylori infection in nonvariceal upper gastrointestinal bleeding patients by adding histology to the rapid urease test: An experience from Lampang Hospital |
| title_fullStr |
Increasing detection rate of Helicobacter pylori infection in nonvariceal upper gastrointestinal bleeding patients by adding histology to the rapid urease test: An experience from Lampang Hospital |
| title_full_unstemmed |
Increasing detection rate of Helicobacter pylori infection in nonvariceal upper gastrointestinal bleeding patients by adding histology to the rapid urease test: An experience from Lampang Hospital |
| title_sort |
increasing detection rate of helicobacter pylori infection in nonvariceal upper gastrointestinal bleeding patients by adding histology to the rapid urease test: an experience from lampang hospital |
| publisher |
Faculty of Medicine, Chiang Mai University |
| publishDate |
2019 |
| url |
https://www.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/106653/84414 http://cmuir.cmu.ac.th/jspui/handle/6653943832/65072 |
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