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Optimal Site for Rapid Urease Test in the Stomach

Completed
Conditions
Helicobacter Pylori Infection
Registration Number
NCT02945137
Lead Sponsor
Soonchunhyang University Hospital
Brief Summary

The accurate diagnosis of H. pylori infection is an important step for establishing the strategy for gastric cancer prevention. During endoscopy, rapid urease test (RUT) is the first of biopsy-based H. pylori tests. Despite indirect test for H. pylori detection, RUT shows rapid result with good sensitivity and specificity. Several study reported that H. pylori density was related to positive reaction time of RUT. However, there was no study comparing the positive reaction times of RUT according to biopsy site, degree of gastric atrophy, and intestinal metaplasia.

Detailed Description

The aims of this study were to: (1) assess the positive reaction times of RUT in the body and antrum, (2) investigate the association between the difference of RUT results (body and antrum) and gastric atrophy, and intestinal metaplasia, and (3) evaluate the optimal biopsy site for RUT according to degree of gastric atrophy in Korean population.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
300
Inclusion Criteria
  • Subjects who underwent upper endoscopy and rapid urease test
Exclusion Criteria
  • : age < 20 or > 70 years; anemia (serum hemoglobin level < 10 g/dL); severe systemic disease or advanced chronic liver disease; use of certain medications, including proton pump inhibitors, H2-receptor antagonists, or antibiotics; a history of H. pylori eradication; a history of gastric surgery; a recent history of upper gastrointestinal bleeding.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Positive reaction time of urease testwithin 24 hours

Color change to red or pink means positivity

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Digestive Disease Center, Soonchunhyang University Hospital

🇰🇷

Seoul, Korea, Republic of

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