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February 1, 1986Journal of Clinical PathologyOpen Access

Clinical importance of Campylobacter pyloridis and associated serum IgG and IgA antibody responses in patients undergoing upper gastrointestinal endoscopy.

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Authors

LBLinda BoothPublic Health EnglandGHG HoldstockHillingdon HospitalHMH MacBrideSouthampton General Hospital

Discussion

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Implication

Observational study reveals strong links between Campylobacter pyloridis antibodies, gastritis, and peptic ulcers in endoscopy patients, suggesting serology can serve as a noninvasive diagnostic tool.

Key Points

  • To evaluate the clinical significance of Campylobacter pyloridis isolation and investigate corresponding serum IgG and IgA antibody responses in patients undergoing upper gastrointestinal endoscopy.
  • Assessed 220 unselected adult patients undergoing diagnostic gastroscopy for the presence of C pyloridis, histological gastritis, and peptic ulceration.
  • Measured serum IgG and IgA antibody titres against a whole-cell sonicate of C pyloridis using an enzyme-linked immunosorbent assay (ELISA).
  • C pyloridis was isolated in 35% of patients (77/220) and was significantly associated with histological gastritis (p < 0.0001), duodenal ulcer (p < 0.0001), and gastric ulcer (p < 0.05).
  • Serum IgA and IgG antibody titres were significantly elevated in patients harboring C pyloridis compared to uninfected controls (p < 0.0001 for both).
  • Peptic ulceration or gastritis occurred in 100% of patients with high IgA titres and 78% with high IgG titres, compared to 18% and 9% in those with low titres, respectively.

Cite This Study

Booth et al. (1986) studied this question.

synapsesocial.com/papers/6a71082e2163a0a01bc53865https://doi.org/10.1136/jcp.39.2.215
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Campylobacter like organisms on the gastric mucosa: culture, histological, and serological studies.1984 · 291 citations
  2. 2Prevalence of Gastritis in a Rural Population1968 · 242 citations
  3. 3Spiral organisms in endoscopic biopsies of the human stomach.1984 · 163 citations