Evidence map›Paper›PMID 22110282›Full record

ArticleWorld journal of gastroenterology2011

Helicobacter pylori infection in bleeding peptic ulcer patients after non-steroidal antiinflammatory drug consumption.

Francesco Manguso, Elisabetta Riccio, Germana de Nucci, Maria Luisa Aiezza, Gerardino Amato, Linda Degl'Innocenti, Maria Maddalena Piccirillo, Gianfranco De Dominicis, Tara Santoro, Elena Trimarco and 1 more

Open access · hybridAbstract read
In one paragraph

Article in World journal of gastroenterology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Accuracy of theTherapeutic advances in gastroenterology · 2020
    Review
  2. Article
  3. Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Francesco MangusoComplex Operating Unit of Gastroenterology, AORN A Cardarelli, 80131 Napoli, Italy. manguso@alice.it
Elisabetta Riccio
Germana de Nucci
Maria Luisa Aiezza
Gerardino Amato
Linda Degl'Innocenti
Maria Maddalena Piccirillo
Gianfranco De Dominicis
Tara Santoro
Elena Trimarco
Antonio Balzano
Ospedale Antonio Cardarelli · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo establish the prevalence of Helicobacter pylori (H. pylori) infection in patients with a bleeding peptic ulcer after consumption of non-steroidal antiinflammatory drugs (NSAIDs).

methodsA very early upper endoscopy was performed to find the source of upper gastrointestinal bleeding and to take biopsy specimens for analysis of H. pylori infection by the rapid urease (CLO) test, histological examination, and bacterial culture. IgG anti-CagA were also sought. The gold standard for identifying H. pylori infection was positive culture of biopsy specimens or contemporary positivity of the CLO test and the presence of H. pylori on tissue sections.

resultsEighty patients, 61 males (76.3%), mean age 61.2 ± 15.9 years, were consecutively enrolled. Forty-seven (58.8%) patients occasionally consumed NSAIDs, while 33 (41.3%) were on chronic treatment with low-dose aspirin (LD ASA). Forty-four (55.0%) patients were considered infected by H. pylori. The infection rate was not different between patients who occasionally or chronically consumed NSAIDs. The culture of biopsy specimens had a sensitivity of 86.4% and a specificity of 100%; corresponding figures for histological analysis were 65.9% and 77.8%, for the CLO test were 68.2% and 75%, for the combined use of histology and the CLO test were 56.8% and 100%, and for IgG anti-CagA were 90% and 98%. The highest accuracy (92.5%) was obtained with the culture of biopsy specimens.

conclusionPatients with a bleeding peptic ulcer after NSAID/LD ASA consumption frequently have H. pylori infection. Biopsy specimen culture after an early upper gastrointestinal tract endoscopy seems the most efficient test to detect this infection.

Indexed as

AdultAgedAged, 80 and overAnti-Inflammatory Agents, Non-SteroidalComorbidityEndoscopy, Digestive SystemFemaleHelicobacter InfectionsHumansMaleMiddle AgedPeptic UlcerPeptic Ulcer HemorrhageProspective StudiesSensitivity and SpecificityYoung AdultAnti-Inflammatory Agents, Non-SteroidalEndoscopyHelicobacter pyloriHelicobacter pylori infectionLow-dose aspirinNon-steroidal antiinflammatory drugsPeptic ulcer hemorrhage

Identifiers

PMID22110282
PMCPMC3218142
OpenAlexW2096499693

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.