Home > Journals > Minerva Medica > Past Issues > Minerva Medica 2006 February;97(1) > Minerva Medica 2006 February;97(1):19-24

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

MINERVA MEDICA

A Journal on Internal Medicine


Indexed/Abstracted in: Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,236


eTOC

 

REVIEWS  HELICOBACTER PYLORI: THE BACTERIUM OF 2005 NOBEL PRIZE


Minerva Medica 2006 February;97(1):19-24

language: Italian

Non-invasive diagnosis of Helicobacter pylori infection in the 2006 clinical practice

Pellicano R. 1, Astegiano M. 1, Smedile A. 1,2, Bonardi R. 1, Morgando A. 1, Repici A. 3, Rizzetto M. 1,2

1 S.C.D.U. Gastro-Epatologia Azienda Ospedaliera San Giovanni Battista (Molinette), Torino
2 Dipartimento di Medicina Interna Università degli Studi di Torino, Torino
3 Servizio Endoscopia Digestiva Istituto Clinico Humanitas, Rozzano, Milano


PDF  


At present, 2 approaches are used to detect Helicobacter pylori (H. pylori): invasive, if based on biopsies taken during endoscopy, and non-invasive, if they do not rely on endoscopic approach. A 3rd option is offered by the string test, that employs an invasive non-endoscopic strategy. The present review attempts to update on the diagnostic non-invasive approaches to patients in the clinical setting. Non-invasive tests include urea breath test (UBT), antigen stool assay, serology, and “doctor’s tests”. The choice of the methods depends on the situation, for example, the clinical circumstances, the diagnostic accuracy, the costs of the testing strategy, and the availability of the tests in the respective area. According to European guidelines, UBT and antigen stool assay are recommended in patients without alarm symptoms or under 45 years of age, at low risk of malignancy in the test and treat strategy. Confirmation of H. pylori eradication following treatment should be tested by UBT; the stool antigen assay is the alternative if the former is not available.

top of page

Publication History

Cite this article as

Corresponding author e-mail