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Identificação do Helicobacter pylori pela citologia do escovado gástrico: comparação com o método histológico Helicobacter pylori identification by brush gastric cytology: a comparison with histologic method

By Ronaldo de Oliveira Custódio, Roberto Ruhman Daher, Yara R. Ximenes, Américo de Oliveira Silvério and Natália Ribeiro de O. Custódio

Abstract

A proposta deste estudo foi a de verificar o valor da citologia do escovado gástrico no diagnóstico da infecção pelo Helicobacter pylori em pacientes submetidos à endoscopia digestiva, comparando-o a outro método endoscópico - a histologia. As endoscopias foram realizadas em 157 pacientes dispépticos, divididos em dois grupos: grupo A (n = 27) com úlcera duodenal, B (n = 130), sem úlcera. No grupo A, a porcentagem de pacientes positivos na citologia (77,8%) foi similar à histologia (74,1%; p = 0,3). No grupo B, a citologia (71,5%) foi superior à histologia (63,1%; p = 0,00002). A citologia do escovado gástrico é um método simples e prático. Foi eficiente para identificar a infecção pelo Helicobacter pylori em todos grupos de estudo.<br>The purpose of this study was to verify the efficacy of brush gastric cytology for diagnosis of Helicobacter pylori infection in patients, submitted to elective gastroscopy, compared to the method of endoscopic histology. Endoscopy was performed on 157 patients, divided into two dyspeptic groups: group A (n = 27) with duodenal ulcer; and group B (n = 130) without ulcer. In group A, the percentage of positive cases detected by brush cytology (77.8%) was similar to histology (74.1%; p = 0.3). While in group B, brush cytology (71.5%) was superior to histology (63.1%; p = 0.00002). Brush cytology is a simple and useful diagnostic method. It was efficient for identification of Helicobacter pylori infection in both groups

Topics: Identificação do Helicobacter pylori, Citologia, Histologia, Helicobacter pylori identification, Brush cytology, Histology, Medicine (General), R5-920, Medicine, R, DOAJ:Medicine (General), DOAJ:Health Sciences, Arctic medicine. Tropical medicine, RC955-962
Publisher: Sociedade Brasileira de Medicina Tropical (SBMT)
Year: 2005
DOI identifier: 10.1590/S0037-86822005000400008
OAI identifier: oai:doaj.org/article:42f3555ef5754b67b0a1f8f2e65b3db7
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