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July 1, 2026JCO oncology advances.Open Access

Feasibility of Using Point-of-Care Isoenzyme Type M2 Pyruvate Kinase Quick Stool Test to Facilitate Earlier Diagnosis of Gastric Cancer in Rwanda

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Authors

MCMary D. ChamberlinSTSharon ThomsonIRIvy Riaño

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Overview

Feasibility study reveals operational challenges of point-of-care M2 pyruvate kinase stool testing in symptomatic patients, highlighting triage potential alongside significant resource barriers.

Key Points

  • To assess the feasibility of using a point-of-care isoenzyme type M2 pyruvate kinase stool test to triage symptomatic patients requiring esophagogastroduodenoscopy for suspected gastric cancer.
  • Enrolled patients presenting with gastrointestinal symptoms scheduled for endoscopy during the Annual Rwanda Endoscopy Week from 2022 to 2024.
  • Collected patient stool samples for point-of-care M2 pyruvate kinase testing alongside baseline demographics, endoscopy findings, and gastric biopsy specimens.
  • Study recruitment was discontinued after consenting 82 patients due to a Marburg virus epidemic, with 46 having incomplete data and 3 failing eligibility criteria.
  • Both point-of-care M2 pyruvate kinase and esophagogastroduodenoscopy evaluations were completed in 36 of 82 patients (43.9%), while definitive pathology results were obtained in 19 of 82 patients (23%).

Cite This Study

Chamberlin et al. (2026) studied this question.

synapsesocial.com/papers/6a94d54548a688da70e60d7chttps://doi.org/10.1200/oa-25-00200
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