Conflicting results of non-invasive methods for detection of Helicobacter pylori infection in children with celiac disease - a preliminary study

• Authors: Jan Józefczuk , Edyta Mądry , Jan Nowak , Marek Walkowiak , Klaudia Łochocka , Tomasz Banasiewicz , Andrzej Pławski , Jarosław Kwiecień , Jarosław Walkowiak
• Languages of publication: EN

Abstracts

EN

Background: There are no data addressing the usefulness of non-invasive tests for the detection of Helicobacter pylori (HP) infection in celiac disease (CD). Aim: The aim of this study was to compare two most sensitive and specific tests - urea breath test (UBT) and fecal antigen test (FAT) in HP diagnosis in CD patients. Materials and Methods: The study comprised of 76 CD patients, 49 healthy subjects (HS) and 35 patients who underwent differential diagnosis due to abdominal pain (AP patients). The presence of HP infection was evaluated using the 13C isotope-labeled UBT and FAT (ELISA). Results: HP infection was diagnosed based on UBT and FAT in 8 (16.3%) and 7 (14.3%) HS, and in 8 (10.5%) CD patients and 12 (34.3%) AP patients, respectively, using both tests. The prevalence of conflicting results in comparison with positive results (obtained with any of the two tests) was distinctly higher (54.5%) in CD group than in other subjects (23.3%); however, due to low HP prevalence, it did not reach the level of significance (p<0.1759). Conclusion: CD may increase the risk of divergent results of non-invasive tests used for the detection of HP infection in children. Since UBT is the most reliable test, we suggest its standard use as a method of choice in pediatric CD - at least until new evidence emerges supporting a different approach.

Keywords

EN

Helicobacter pylori; celiac disease; fecal test; breath test; urea

• Journal: Acta Biochimica Polonica
• Year: 2016
• Volume: 63
• Issue: 1
• Pages: 127-130

Dates

published

2016

received

2015-06-22

revised

2015-09-30

accepted

2015-12-21

(unknown)

2016-01-27

Contributors

author

Jan Józefczuk

• Pediatric Department with Children's Cardiologic Subunit, Specialist Hospital of Holy Spirit in Sandomierz, Sandomierz, Poland

author

Edyta Mądry

• Department of Physiology, Poznan University of Medical Sciences, Poznań, Poland

author

Jan Nowak

• Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Poznań, Poland

author

Marek Walkowiak

• Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Poznań, Poland

author

Klaudia Łochocka

• Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Poznań, Poland

author

Tomasz Banasiewicz

• Department of General, Gastroenterological and Endocrinological Surgery, Poznan University of Medical Sciences, Poznań, Poland

author

Andrzej Pławski

• Institute of Human Genetics, Polish Academy of Sciences, Poznań, Poland

author

Jarosław Kwiecień

• Department of Pediatrics, The School of Medicine and Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, Zabrze, Poland

author

Jarosław Walkowiak

• Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Poznań, Poland

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Identifiers

DOI

10.18388/abp.2015_1088