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Diagnosis ofHelicobacter Pylori

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Abstract

In view of its potential risk for the development of gastrointestinal disease or even gastric cancer at a later age, the study ofHelicobacter pylori infection in childhood is gaining increasing importance andH. pylori infection is being considered a major issue of public health.H. pylori infection can be detected by a variety of methods. Because of its easy use, affordability, and overall availability, serology is the preferred diagnostic test, especially for large epidemiological studies. Based on our results, one might consider treating a child with recurrent abdominal pain and positive serology forH. pylori without further work-up, and only perform additional investigations when an anti-W.pylori therapy fails to resolve the complaints. According to this proposition, endoscopy of the upper gastrointestinal tract remains indicated in children if the noninvastive tests forHelicobacter pylori are negative in the absence of a diagnosis, or if symptomatology persists despite treatment.

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  1. Division of Pediatric Gastroenterology, Louisiana State University Medical Center, New Orleans, Louisiana

    Uwe Blecker M.D.

  2. Division of Pediatric Gastroenterology, Alfred I duPont Institute, Wilmington, Delaware

    Devendra I. Mehta

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Blecker, U., Mehta, D.I. Diagnosis ofHelicobacter Pylori . Indian J Pediatr 64, 815–827 (1997). https://doi.org/10.1007/BF02725504

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