دورية أكاديمية

Urease Levels and Gastritis Stage in Dyspeptic Patients.

التفاصيل البيبلوغرافية
العنوان: Urease Levels and Gastritis Stage in Dyspeptic Patients.
المؤلفون: Miftahussurur M; 1. Division of Gastroentero-Hepatology, Department of Internal Medicine, Faculty of Medicine-Dr. Soetomo Teaching Hospital, Universitas Airlangga, Surabaya 60286, Indonesia 2. Institute of Tropical Disease, Universitas Airlangga, Surabaya 60115, Indonesia 3. Department of Environmental and Preventive Medicine, Oita University Faculty of Medicine, Yufu 879-5593, Japan. muhammad-m@fk.unair.ac.id., Putri CDM, Sugihartono T, Syam AF, Purbayu H, Priyantini D, Kahar H, Rezkitha YAA, Nusi IA, Setiawan PB, Maimunah U, Waskito LA, Kholili U, Widodo B, Vidyani A, Thamrin H, Siregar GA, I'tishom R, Uchida T, Yamaoka Y
المصدر: Acta medica Indonesiana [Acta Med Indones] 2022 Jan; Vol. 54 (1), pp. 42-51.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Indonesian Society of Internal Medicine Country of Publication: Indonesia NLM ID: 7901042 Publication Model: Print Cited Medium: Internet ISSN: 0125-9326 (Print) Linking ISSN: 01259326 NLM ISO Abbreviation: Acta Med Indones Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Jakarta, Indonesia : Indonesian Society of Internal Medicine
مواضيع طبية MeSH: Dyspepsia*/diagnosis , Gastritis*/diagnosis , Gastritis, Atrophic*/diagnosis , Helicobacter Infections*/diagnosis , Helicobacter pylori*, Adult ; Carbon Radioisotopes ; Cross-Sectional Studies ; Humans ; Sensitivity and Specificity ; Urea ; Urease
مستخلص: Background: Dyspepsia is a frequent main symptom of inpatients and outpatients scenario in Indonesia. However, the number of endoscopy facilities are still low, thus the use of non-invasive method to detect gastritis is necessary. We measured the relationship between urease levels and the stage of gastritis in dyspeptic adult patients.
Methods: A cross-sectional study included outpatient dyspepsia patient from November 2018 to February 2019. We examined 14C-Urea Breath Test (UBT) and determined the stage of gastritis based on the Updated Sydney System classification.
Results: The urease level of acute and chronic gastritis positive patients were higher than negative patients (p = 0.001, r = 0.353; p <0.0001, r = 0.433, respectively). The AUC value of 14C-UBT to detect acute, chronic, and atrophic gastritis are 0.889, 0.632 and 0.544, respectively. The best cut-off points of 14C-UBT to predict acute gastritis was ≥26.50δ‰ with sensitivity and specificity being 88.89% and 63.95%, respectively. Whereas the best cut-off points for chronic gastritis was ≥34.50δ‰ with 82.89% sensitivity, 63.16% specificity. As for atrophic gastritis, it showed very low AUC value, hence it is not a sufficient test modality to predict atrophic gastritis cases.
Conclusion: 14C-UBT is sufficient for predicting acute or chronic gastritis but not for atrophic gastritis.
فهرسة مساهمة: Keywords: Cancer; Dyspepsia; Gastritis severity; Urea Breath Test
المشرفين على المادة: 0 (Carbon Radioisotopes)
8W8T17847W (Urea)
EC 3.5.1.5 (Urease)
تواريخ الأحداث: Date Created: 20220410 Date Completed: 20220412 Latest Revision: 20220412
رمز التحديث: 20240628
PMID: 35398825
قاعدة البيانات: MEDLINE