The endoscopic predictors of Helicobacter pylori status: a meta-analysis of diagnostic performance

被引:22
作者
Ben Glover [1 ]
Teare, Julian [1 ]
Ashrafian, Hutan [1 ]
Patel, Nisha [1 ]
机构
[1] Imperial Coll London, London W2 1NY, England
关键词
gastritis; Helicobacter pylori; image enhancement; lesion recognition; optical diagnosis; NORMAL GASTRIC-MUCOSA; COLLECTING VENULES; MAGNIFYING ENDOSCOPY; REGULAR ARRANGEMENT; MAGNIFICATION ENDOSCOPY; NORMAL STOMACH; INFECTION; VIDEOENDOSCOPY; PATTERNS; EFFICACY;
D O I
10.1177/2631774520950840
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Objective: The endoscopic findings associated with Helicobacter pylori-naive status, current infection or past infection are an area of ongoing interest. Previous studies have investigated parameters with a potential diagnostic value. The aim of this study was to perform meta-analysis of the available literature to validate the diagnostic accuracy of mucosal features proposed in the Kyoto classification. Data sources: The databases of MEDLINE and Embase, clinicalTrials.gov and the Cochrane Library were systematically searched for relevant studies from October 1999 to October 2019. Methods: A bivariate random effects model was used to produce pooled diagnostic accuracy calculations for each of the studied endoscopic findings. Diagnostic odds ratios and sensitivity and specificity characteristics were calculated to identify significant predictors of H pylori status. Results: Meta-analysis included 4380 patients in 15 studies. The most significant predictor of an H pylori-naive status was a regular arrangement of collecting venules (diagnostic odds ratio 55.0, sensitivity 78.3%, specificity 93.8%). Predictors of active H pylori infection were mucosal oedema (18.1, 63.7%, 91.1%) and diffuse redness (14.4, 66.5%, 89.0%). Map-like redness had high specificity for previous H pylori eradication (99.0%), but poor specificity (13.0%). Conclusion: The regular arrangement of collecting venules, mucosal oedema, diffuse redness and map-like redness are important endoscopic findings for determining H pylori status. This meta-analysis provides a tentative basis for developing future endoscopic classification systems.
引用
收藏
页数:19
相关论文
共 50 条
[21]   The Relationship between Helicobacter pylori Infection and Atherosclerosis: A Meta-analysis [J].
Ramezani-Binabaj, Mahdi ;
Mobasher-Jannat, Abdolkarim ;
Safiabadi, Mahdi ;
Saburi, Amin ;
Rezaee-Zavareh, Mohammad Saeid ;
Karimi-Sari, Hamidreza ;
Salesi, Mahmood ;
Pishgoo, Bahram .
ERCIYES MEDICAL JOURNAL, 2016, 38 (03) :90-94
[22]   Helicobacter pylori Infection and Psoriasis: A Systematic Review and Meta-Analysis [J].
Yu, Mingyang ;
Zhang, Rongguang ;
Ni, Peng ;
Chen, Shuaiyin ;
Duan, Guangcai .
MEDICINA-LITHUANIA, 2019, 55 (10)
[23]   Diagnostic accuracy of the 14C-urea breath test in Helicobacter pylori infections: a meta-analysis [J].
Zhou, Qiaohui ;
Li, Ling ;
Ai, Yaowei ;
Pan, Zhihong ;
Guo, Mingwen ;
Han, Jingbo .
WIENER KLINISCHE WOCHENSCHRIFT, 2017, 129 (1-2) :38-45
[24]   Association of Helicobacter pylori with Chronic Kidney Diseases: A Meta-Analysis [J].
Wijarnpreecha, Karn ;
Thongprayoon, Charat ;
Nissaisorakarn, Pitchaphon ;
Jaruvongvanich, Veeravich ;
Nakkala, Kiran ;
Rajapakse, Ridhmi ;
Cheungpasitporn, Wisit .
DIGESTIVE DISEASES AND SCIENCES, 2017, 62 (08) :2045-2052
[25]   Effect of Helicobacter pylori Eradication on Metachronous Gastric Cancer after Endoscopic Resection of Gastric Tumors: A Meta-Analysis [J].
Yoon, Seung Bae ;
Park, Jae Myung ;
Lim, Chul-Hyun ;
Cho, Yu Kyung ;
Choi, Myung-Gyu .
HELICOBACTER, 2014, 19 (04) :243-248
[26]   Endoscopic Reflux Esophagitis and Reflux-Related Symptoms after Helicobacter pylori Eradication Therapy: Meta-Analysis [J].
Sugimoto, Mitsushige ;
Murata, Masaki ;
Mizuno, Hitomi ;
Iwata, Eri ;
Nagata, Naoyoshi ;
Itoi, Takao ;
Kawai, Takashi .
JOURNAL OF CLINICAL MEDICINE, 2020, 9 (09) :1-19
[27]   Pharmacological regimens for eradication of Helicobacter pylori: an overview of systematic reviews and network meta-analysis [J].
Xin, Yiqiao ;
Manson, Jan ;
Govan, Lindsay ;
Harbour, Robin ;
Bennison, Jenny ;
Watson, Eleanor ;
Wu, Olivia .
BMC GASTROENTEROLOGY, 2016, 16
[28]   Hybrid, sequential and concomitant therapies for Helicobacter pylori eradication: A systematic review and meta-analysis [J].
Song, Zhi-Qiang ;
Zhou, Li-Ya .
WORLD JOURNAL OF GASTROENTEROLOGY, 2016, 22 (19) :4766-4775
[29]   Probiotics improve the efficacy of standard triple therapy in the eradication of Helicobacter pylori: a meta-analysis [J].
Lau, Christine S. M. ;
Ward, Amanda ;
Chamberlain, Ronald S. .
INFECTION AND DRUG RESISTANCE, 2016, 9 :275-289
[30]   A Systematic Review and Meta-Analysis Study to Investigate the Prevalence of Helicobacter pylori and the Sensitivity of its Diagnostic Methods in Iran [J].
Sayehmiri, Fatemeh ;
Darvishi, Zahra ;
Sayehmiri, Kourosh ;
Soroush, Setareh ;
Emaneini, Mohammad ;
Zarrilli, Raffaele ;
Taherikalani, Morovat .
IRANIAN RED CRESCENT MEDICAL JOURNAL, 2014, 16 (06)