Videoesophagogastroduodenoscopy - complex advanced HD VEGDS with Helicobacter Pylori sampling (HD, WLE, iScan) and biopsy

Cu Prelevarea Germenului Helicobacter Pylori (Hd)

We remind you that independent interpretation of the results is unacceptable, the information provided below is for reference purposes only.

Helicobacter pylori is a spiral-shaped bacterium that can cause chronic inflammation of the stomach lining (gastritis) and ulcers in the stomach and duodenum. This bacterium is a major cause of peptic ulcers and is a risk factor for gastric cancer.

Understanding Helicobacter pylori Infection

Helicobacter pylori is a hardy bacterium that can survive in the harsh, acidic environment of the stomach. It has the ability to burrow into the stomach lining, where it can cause inflammation and damage the protective mucous layer. This can lead to the development of ulcers or, in some cases, increase the risk of stomach cancer.

The bacterium is usually acquired during childhood and can persist in the stomach for many years, often without causing any symptoms. However, in some individuals, the infection can lead to various gastrointestinal problems, including:

• Chronic gastritis (inflammation of the stomach lining)
• Peptic ulcers (sores in the stomach or duodenum)
• Gastric cancer (stomach cancer)
• Mucosa-associated lymphoid tissue (MALT) lymphoma (a type of non-Hodgkin's lymphoma)

Table 1: Understanding Helicobacter pylori

Diagnosis and treatment of Helicobacter pylori infection are important to prevent long-term complications and reduce the risk of developing associated conditions. The detection methods include non-invasive tests like breath tests or stool antigen tests, as well as invasive methods like endoscopy with biopsy.

The Role of Helicobacter Pylori (H. Pylori) Testing

Helicobacter pylori is a spiral-shaped bacterium that can colonize the human stomach and cause various gastric disorders. Testing for H. pylori is crucial in diagnosing and managing conditions such as peptic ulcers, chronic gastritis, and even some forms of gastric cancer. The presence of H. pylori can lead to inflammation and damage to the stomach lining, making its detection and eradication essential for effective treatment.

Indications for Helicobacter Pylori Testing

Helicobacter pylori testing is typically recommended in the following situations:

• Evaluation of dyspeptic symptoms: If a patient experiences persistent or recurrent symptoms of dyspepsia (upper abdominal discomfort, bloating, nausea, or heartburn), H. pylori testing may be ordered to determine if the infection is the underlying cause.
• Diagnosis of peptic ulcers: H. pylori is a major risk factor for the development of peptic ulcers (stomach and duodenal ulcers). Testing is recommended for patients with a confirmed peptic ulcer to guide appropriate treatment.
• Follow-up after H. pylori eradication therapy: After receiving treatment for H. pylori infection, testing may be performed to confirm successful eradication and prevent potential complications.
• Screening for gastric cancer risk: In certain populations with a higher risk of gastric cancer, such as those with a family history or specific environmental exposures, H. pylori testing may be recommended as part of cancer screening protocols.

Preparation for the Procedure

To ensure accurate test results, it is essential to follow certain guidelines before collecting the sample for the Helicobacter Pylori (H. pylori) test. Here are some recommendations:

• Dietary Restrictions: Avoid consumption of antibiotics, bismuth-containing medications, and proton pump inhibitors (PPIs) for at least two weeks prior to the test, as these can interfere with the accuracy of the results.
• Fasting: In some cases, fasting may be required for several hours before the test, particularly if a blood or breath test is being performed. However, this requirement varies depending on the specific testing method used.
• Disclosure of Medications: Inform your healthcare provider about any medications you are currently taking, as certain drugs can affect the test results.

Sample Collection Procedure

The sample collection procedure varies depending on the type of test being performed. Common methods include:

• Blood Test: A small sample of blood is drawn from a vein, typically in the arm.
• Breath Test: You will be asked to drink a solution containing a substance that will be broken down by H. pylori if present. After a specified time, you will exhale into a bag or balloon, and the breath sample will be analyzed for the presence of the byproduct.
• Stool Test: You will be provided with a collection kit to obtain a stool sample at home, which will then be analyzed for the presence of H. pylori antigens.
• Endoscopy: In some cases, an endoscopic procedure may be performed to obtain a tissue sample (biopsy) from the lining of the stomach or duodenum for further testing.

Sources:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8850904/
https://karger.com/dig/article-abstract/101/5/552/103615/Testing-of-Helicobacter-pylori-by-Endoscopic?redirectedFrom=fulltext
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10589579/

IMPORTANT!

It is crucial to remember that the information provided in this section is not intended for self-diagnosis or self-treatment. If you experience any pain or exacerbation of symptoms, it is essential to consult a qualified medical professional for proper diagnosis and treatment. Only a licensed healthcare provider can accurately diagnose and prescribe appropriate treatment. To ensure the most accurate and consistent evaluation of test results, it is recommended to have tests performed at the same laboratory. This is because different laboratories may use different methods and units of measurement for similar tests.