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Diagnostik der Helicobacter-pylori-Infektion

Wer die Wahl hat, hat die Qual

Diagnosis of Helicobacter infection

He who has a choice has torture

  • Schwerpunkt: Helicobacter pylori
  • Published:
Der Gastroenterologe Aims and scope

Zusammenfassung

Zum Nachweis der Helicobacter-pylori-Infektion stehen eine große Anzahl von Methoden zur Verfügung. Glücklicherweise ist die Qual bei der Auswahl geringer als vermutet: die unterschiedlichen Testverfahren kommen differenziert zum Einsatz. Grundsätzlich werden invasive von nichtinvasiven Nachweismethoden unterschieden. Bei den invasiven Methoden stellen Kultur, Histologie und Urease-Schnelltest die Standardverfahren da. Bei den nichtinvasiven Verfahren sind der 13C-Harnstoff-Atemtest und der Stuhltest die Methoden der Wahl. Einige Neuerungen, Weiterentwicklungen und Innovation hat es in letzter Zeit gegeben. Auch diese sollen hier kritisch beleuchtet werden.

Abstract

Many different methods are available for detection of Helicobacter pylori infection. The selection of the method of choice is not that difficult because every test has a field of application. In principle invasive and non-invasive methods are differentiated. Culture, histology, and rapid urease test are the standard invasive detection methods. Methods of choice for non-invasive detection of H. pylori are the 13C urea breath test and the stool antigen test. Several improvements, developments and innovations have been described recently and are critically discussed in this review.

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Authors and Affiliations

  1. Medizinische Klinik, Ev. Jung-Stilling-Krankenhaus, Wichernstraße 40, 57074, Siegen

    A. Leodolter &  J. Labenz

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  1. A. Leodolter
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  2. J. Labenz
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Correspondence to J. Labenz.

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Leodolter, A., Labenz, J. Diagnostik der Helicobacter-pylori-Infektion. Gastroenterologe 1, 253–258 (2006). https://doi.org/10.1007/s11377-006-0043-8

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  • DOI: https://doi.org/10.1007/s11377-006-0043-8

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