Significance of Various Diagnostic Methods for the Detection of Helicobacter Pylori Infection

OBJECTIVE: To determine the diagnostic significance of Helicobacter pylori (H. pylori) infection by histological examination of tissues and rapid Immunochromatographic assay from stool samples. METHODOLOGY: This retrospective comparative study was performed in the Departments of Pathology and Medic...

Full description

Bibliographic Details
Main Authors: Rasheed Ahmed Soomro, Muhammad Kaleem, Riaz Ahmed Qazi, Faisal Irshad, Mehwish Zafar, Moin-ul-Islam
Format: Article
Language:English
Published: Liaquat University of Medical and Health Sciences 2022-06-01
Series:JLUMHS
Subjects:
Online Access:https://www.lumhs.edu.pk/jlumhs/Vol21No02/09.pdf
_version_ 1827946804732231680
author Rasheed Ahmed Soomro
Muhammad Kaleem
Riaz Ahmed Qazi
Faisal Irshad
Mehwish Zafar
Moin-ul-Islam
author_facet Rasheed Ahmed Soomro
Muhammad Kaleem
Riaz Ahmed Qazi
Faisal Irshad
Mehwish Zafar
Moin-ul-Islam
author_sort Rasheed Ahmed Soomro
collection DOAJ
description OBJECTIVE: To determine the diagnostic significance of Helicobacter pylori (H. pylori) infection by histological examination of tissues and rapid Immunochromatographic assay from stool samples. METHODOLOGY: This retrospective comparative study was performed in the Departments of Pathology and Medicine, Suleman Roshan Medical College Tandoadam, from August to December 2020, on one hundred cases collected by consecutive nonprobability technique, of any sex and age, having a clinical opinion of H pylori disease. Samples were collected, and gastric endoscopic biopsies were performed in all cases in the department of Medicine and shifted to the Pathology department for registration and processing. The rapid Immunochromatographic assay of the same patients was also performed to isolate H. pylori from faecal samples. All the data collected were statistically analyzed using SPSS 20, and the results were tabulated. RESULTS: On histological examination, H. pylori bacilli were detected in 90 (90%) patients, of which the male was 52(57.7 %). The age ranges from 14 - 85 years, with a mean of 47.9. The histopathologically positive cases were compared with stool antigen, and H. pylori antigen in stool were isolated on immunochromatography technique in 48 (48%) subjects. The sensitivity and specificity of stool antigen were 52.74% and 90%, respectively, and the P-value was 0.011. CONCLUSION: H. pylori positivity is highly significant in histological examination of endoscopic gastric biopsies and may be identified by stool analysis as seen in this study which is noninvasive, most straightforward and has low expenses.
first_indexed 2024-03-13T11:06:10Z
format Article
id doaj.art-22de4e744c9e4580b74a9029350c25ff
institution Directory Open Access Journal
issn 1729-0341
2309-8627
language English
last_indexed 2024-03-13T11:06:10Z
publishDate 2022-06-01
publisher Liaquat University of Medical and Health Sciences
record_format Article
series JLUMHS
spelling doaj.art-22de4e744c9e4580b74a9029350c25ff2023-05-16T06:19:43ZengLiaquat University of Medical and Health SciencesJLUMHS1729-03412309-86272022-06-012102126130doi:10.22442/jlumhs.2022.00916Significance of Various Diagnostic Methods for the Detection of Helicobacter Pylori InfectionRasheed Ahmed Soomro0Muhammad Kaleem1Riaz Ahmed Qazi2Faisal Irshad3Mehwish Zafar4Moin-ul-Islam5Suleman Roshan Medical College Tando Adam, Sindh-Pakistan.Suleman Roshan Medical College Tando Adam, Sindh-PakistanSuleman Roshan Medical College Tando Adam, Sindh-PakistanSuleman Roshan Medical College Tando Adam, Sindh-PakistanSuleman Roshan Medical College Tando Adam, Sindh-PakistanSuleman Roshan Medical College Tando Adam, Sindh-PakistaOBJECTIVE: To determine the diagnostic significance of Helicobacter pylori (H. pylori) infection by histological examination of tissues and rapid Immunochromatographic assay from stool samples. METHODOLOGY: This retrospective comparative study was performed in the Departments of Pathology and Medicine, Suleman Roshan Medical College Tandoadam, from August to December 2020, on one hundred cases collected by consecutive nonprobability technique, of any sex and age, having a clinical opinion of H pylori disease. Samples were collected, and gastric endoscopic biopsies were performed in all cases in the department of Medicine and shifted to the Pathology department for registration and processing. The rapid Immunochromatographic assay of the same patients was also performed to isolate H. pylori from faecal samples. All the data collected were statistically analyzed using SPSS 20, and the results were tabulated. RESULTS: On histological examination, H. pylori bacilli were detected in 90 (90%) patients, of which the male was 52(57.7 %). The age ranges from 14 - 85 years, with a mean of 47.9. The histopathologically positive cases were compared with stool antigen, and H. pylori antigen in stool were isolated on immunochromatography technique in 48 (48%) subjects. The sensitivity and specificity of stool antigen were 52.74% and 90%, respectively, and the P-value was 0.011. CONCLUSION: H. pylori positivity is highly significant in histological examination of endoscopic gastric biopsies and may be identified by stool analysis as seen in this study which is noninvasive, most straightforward and has low expenses.https://www.lumhs.edu.pk/jlumhs/Vol21No02/09.pdfh. pyloriendoscopic gastric biopsieshistological examinationstool antigen
spellingShingle Rasheed Ahmed Soomro
Muhammad Kaleem
Riaz Ahmed Qazi
Faisal Irshad
Mehwish Zafar
Moin-ul-Islam
Significance of Various Diagnostic Methods for the Detection of Helicobacter Pylori Infection
JLUMHS
h. pylori
endoscopic gastric biopsies
histological examination
stool antigen
title Significance of Various Diagnostic Methods for the Detection of Helicobacter Pylori Infection
title_full Significance of Various Diagnostic Methods for the Detection of Helicobacter Pylori Infection
title_fullStr Significance of Various Diagnostic Methods for the Detection of Helicobacter Pylori Infection
title_full_unstemmed Significance of Various Diagnostic Methods for the Detection of Helicobacter Pylori Infection
title_short Significance of Various Diagnostic Methods for the Detection of Helicobacter Pylori Infection
title_sort significance of various diagnostic methods for the detection of helicobacter pylori infection
topic h. pylori
endoscopic gastric biopsies
histological examination
stool antigen
url https://www.lumhs.edu.pk/jlumhs/Vol21No02/09.pdf
work_keys_str_mv AT rasheedahmedsoomro significanceofvariousdiagnosticmethodsforthedetectionofhelicobacterpyloriinfection
AT muhammadkaleem significanceofvariousdiagnosticmethodsforthedetectionofhelicobacterpyloriinfection
AT riazahmedqazi significanceofvariousdiagnosticmethodsforthedetectionofhelicobacterpyloriinfection
AT faisalirshad significanceofvariousdiagnosticmethodsforthedetectionofhelicobacterpyloriinfection
AT mehwishzafar significanceofvariousdiagnosticmethodsforthedetectionofhelicobacterpyloriinfection
AT moinulislam significanceofvariousdiagnosticmethodsforthedetectionofhelicobacterpyloriinfection