Fukuda Yoshihiro, Yoshida Koji, Ezaki Hirohiko, Tomita Toshihiko, Kosaka Tadashi, Hori Kazutoshi, Shimoyama Takashi
Department of Internal Medicine, Division of Gastroenterology, Hyogo College of Medicine.
Nihon Rinsho. 2002 Aug;60(8):1543-8.
Peptic ulcer in elderly patients may be associated with Helicobacter pylori infection. Diagnosis for H. pylori infection should be needed in these patients. The test may be resulted in false negative in case of invasive diagnostic methods based gastric biopsy, because atrophic gastritis and intestinal metaplasia developed in patients may not be able to detect scarce infection of the bacterium. Urea breath test or stool antigen test are recommended for diagnosis of H. pylori infection in patients. It is suitable for patients, because of the non invasive nature of these diagnostic tests.
老年患者的消化性溃疡可能与幽门螺杆菌感染有关。这些患者需要进行幽门螺杆菌感染的诊断。如果采用基于胃活检的侵入性诊断方法,检测可能会出现假阴性,因为患者发生的萎缩性胃炎和肠化生可能无法检测到该细菌的少量感染。推荐使用尿素呼气试验或粪便抗原试验来诊断患者的幽门螺杆菌感染。由于这些诊断试验具有非侵入性,所以适合患者。