Detection of Helicobacter Pylori Infection by High Resolution Endoscopy

NCT ID: NCT01434992

Last Updated: 2012-04-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

585 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-08-31

Study Completion Date

2012-01-31

Brief Summary

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Although endoscopic findings of H. pylori have been reported in the literature, there is still some debate over whether H. pylori-related gastritis can be diagnosed via endoscopic features alone. Most studies concluded that it is not possible to diagnose H. pylori-related gastritis on the basis of endoscopic findings. However, the resolution power of endoscopy has greatly improved in recent years and the exact examination of gastric mucosa was possible.

Detailed Description

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Our study aimed to achieve the following: (1) describe the H. pylori-related mucosal pattern in the gastric corpus using high-definition endoscopy; (2) evaluate the diagnostic accuracy for H. pylori detection; (3) find the optimal biopsy site for rapid urease test (RUT); (4) validate the inter- and intraobserver agreement in the assessment of endoscopic patterns.

Conditions

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Helicobacter-associated Gastritis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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H. pylori gastritis

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Patients who underwent upper endoscopy

Exclusion Criteria

* Age \< 20 or \> 70
* Severe systemic disease or advanced chronic liver disease
* Medication history of NSAID, PPI, H2 blockers or antibiotics
* History of H. pylori eradication therapy
* History of gastric surgery
* Recent history of upper GI bleeding
* Gastric or duodenal ulcer (including old scar change) during endoscopy
* Anemia (Hemoglobin level \< 10mg/dL)
* Pangastritis
Minimum Eligible Age

20 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kyunghee University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Jun-Hyung Cho

Clinical and research fellow

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jun-Hyung Cho, M.D.

Role: PRINCIPAL_INVESTIGATOR

Kyung Hee University Hospital

Locations

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Kyung Hee University Hospital

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Bah A, Saraga E, Armstrong D, Vouillamoz D, Dorta G, Duroux P, Weber B, Froehlich F, Blum AL, Schnegg JF. Endoscopic features of Helicobacter pylori-related gastritis. Endoscopy. 1995 Oct;27(8):593-6. doi: 10.1055/s-2007-1005764.

Reference Type BACKGROUND
PMID: 8608753 (View on PubMed)

Redeen S, Petersson F, Jonsson KA, Borch K. Relationship of gastroscopic features to histological findings in gastritis and Helicobacter pylori infection in a general population sample. Endoscopy. 2003 Nov;35(11):946-50. doi: 10.1055/s-2003-43479.

Reference Type BACKGROUND
PMID: 14606018 (View on PubMed)

Mihara M, Haruma K, Kamada T, Komoto K, Yoshihara M, Sumii K, Kajiyama G. The role of endoscopic findings for the diagnosis of Helicobacter pylori infection: evaluation in a country with high prevalence of atrophic gastritis. Helicobacter. 1999 Mar;4(1):40-8. doi: 10.1046/j.1523-5378.1999.09016.x.

Reference Type BACKGROUND
PMID: 10352086 (View on PubMed)

Cho JH, Chang YW, Jang JY, Shim JJ, Lee CK, Dong SH, Kim HJ, Kim BH, Lee TH, Cho JY. Close observation of gastric mucosal pattern by standard endoscopy can predict Helicobacter pylori infection status. J Gastroenterol Hepatol. 2013 Feb;28(2):279-84. doi: 10.1111/jgh.12046.

Reference Type DERIVED
PMID: 23189930 (View on PubMed)

Other Identifiers

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KHU-HP-2011

Identifier Type: -

Identifier Source: org_study_id

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