Print ISSN: 2581-5725
Online ISSN: 2456-9267
CODEN : IACHCL
IP Archives of Cytology and Histopathology Research (ACHR) open access, peer-reviewed quarterly journal publishing since 2016 and is published under the Khyati Education and Research Foundation (KERF), is registered as a non-profit society (under the society registration act, 1860), Government of India with the vision of various accredited vocational courses in healthcare, education, paramedical, yoga, publication, teaching and research activity, with the aim of faster and better dissemination of knowledge, we will be publishing the article more...Original Article
Author Details :
Volume : 7, Issue : 4, Year : 2022
Article Page : 220-228
https://doi.org/10.18231/j.achr.2022.050
Abstract
Background: Helicobacter pylori is one of the most important causes of the varied spectrum of gastroduodenal diseases. It is important to have a collaborative approach between clinicians and pathologists for early initiation of treatment in patients and control the progression of the disease.
Aims: To evaluate the clinico-histopathological spectrum of gastroduodenal diseases with respect to Helicobacter pylori infection and provide recommendations for reporting and management of the same.
Materials and Methods: All patients of chronic dyspepsia not responding to conventional treatment were subjected to endoscopy, and mucosal biopsy samples were collected. A rapid urease test (RUT) and histopathology was performed on these samples. A histopathological evaluation was done with special reference to the Updated Sydney System for reporting of chronic gastritis.
Results: The specificity, sensitivity, positive predictive value, negative predictive value, and diagnostic accuracy of RUT were 97.22%, 94.04%, 98.75%, 87.5%, and 95%, respectively. The specificity, sensitivity, PPV, NPV and diagnostic accuracy of endoscopy were calculated as 98.68%, 88.5%, 95.83%, 96.15% and 96.07% respectively.
Conclusion: A clinicopathological approach for diagnosis of Helicobacter pylori associated gastroduodenal diseases which includes clinical assessment, endoscopic evaluation, RUT and histopathological analysis is of prime importance for effective management of such patients.
Keywords: Diagnosis, Helicobacter pylori, Histopathology, Endoscopy
How to cite : Singh R K, Paul U K, Mookim N, Das D, Roy A D, Reporting of Helicobacter pylori associated gastroduodenal diseases: A clinicopathological approach. IP Arch Cytol Histopathol Res 2022;7(4):220-228
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