Correlation between 13C-urea breath test and gastric histological findings in Helicobacter pylori positive patients

Katsunori Iijima, Shuichi Ohara, Hitoshi Sekine, Satoru Moriyama, Katsuaki Kato, Tomoyuki Koike, Kenichi Honda, Shigeru Asaki, Takayoshi Toyota

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

13C-urea breath test (UBT), available for diagnosis of Helicobacter pylori (HP) in the stomach, measures the 13CO in the breath in which 13C urea is resolved in the stomach by urease derived from HP. Accordingly UBT is useful for a test of HP infection. This study is aimed at clarifying the relationship between the UBT and gastric histological findings. For this study we selected 63 patients with HP infection who showed both positive UBT and positive histological diagnosis. Briefly in the UBT procedure, the patients were given 13C-urea (100mg dissolved 100ml water) in a fasting state and kept in the left decubitus position for 5 minutes, and then the patients were asked to expire into testing bags before and 20 minutes after administration of the urea. Biopsy specimens were taken endoscopically from the gastric antrum and the body. The specimens of all patients showed positive CLO test. HP organisms, inflammation, activity, and atrophy of the gastric specimens, were expressed in score from 0 to 3 according to the Update Sydney system. The UBT values were high correlated with the increase of HP organisms. The UBT was 11.8,26.3, and 37‰ in the groups with the scores of 0,1, and 2 in the number of HP organisms from the gastric body, respectively. The UBT was 19.2,22.2.36.1.26.7‰ in the groups with scores of 0,1,2, and 3 for the specimens from the antrum, respectively. The results show that there is a positive correlation between the UBT values and HP organisms. As a result, the UBT correlated with the activity score. Grade of gastric mucosal atrophy was expressed histologically in scores of 0,1,2, and 3. The UBT was 29.4,19.1,17.5, and 9.3‰ in the groups with scores 0,1,2, and 3 in the grades of gastric atrophy from the gastric body, respectively. There was a negative correlation between the UBT values and the grade of gastric atrophy. We conclude that the UBT values which indicate the number of HP organisms can be used not only for diagnosis of HP infection but also the quantitative index of HP load.

Original languageEnglish
Pages (from-to)18-25
Number of pages8
JournalJapanese Journal of Gastroenterology
Volume95
Issue number1
Publication statusPublished - 1998 Jan 1

ASJC Scopus subject areas

  • Gastroenterology

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