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Published on: July 28, 2023
[The assessment of Helicobacter pylori eradication with the urea breathing test (13C UBT)]
M Zajaczkowska1, T Durakiewicz, A Papierkowski
1Kliniki Pediatrii i Nefrologii AM w Lublinie.
Insights
Helicobacter pylori (HP) infection treatment is effective in children with nephrotic syndrome. The non-invasive 13C urea breath test (13C UBT) accurately assesses treatment success in these patients.
Area of Science:
- Pediatric Nephrology
- Gastroenterology
- Infectious Diseases
Background:
- Nephrotic syndrome is a kidney disorder affecting children.
- Helicobacter pylori (HP) infection is common and can cause gastrointestinal issues.
- The link between HP infection and nephrotic syndrome requires further investigation.
Purpose of the Study:
- To evaluate the effectiveness of HP infection treatment in children with nephrotic syndrome.
- To assess the utility of the 13C urea breath test (13C UBT) for monitoring treatment efficacy.
- To determine the prevalence of HP infection in children with nephrotic syndrome.
Main Methods:
- A cohort of 20 children with nephrotic syndrome was studied.
- Children were grouped based on prednisone treatment duration (1-3 months vs. >6 months).
- Diagnostic methods included gastroscopy, histopathology, and 13C UBT before and after HP treatment.
Main Results:
- Helicobacter pylori (HP) infection was detected in 65% of children with nephrotic syndrome.
- HP infection prevalence was higher in children treated longer than 6 months (90%) compared to 1-3 months (40%).
- HP infection treatment demonstrated 100% success, confirmed by 13C UBT.
Conclusions:
- Children with nephrotic syndrome exhibit increased susceptibility to HP infection.
- Effective treatment for HP infection is achievable in this pediatric population.
- 13C UBT serves as a reliable non-invasive tool for assessing HP treatment efficacy.
Unlabelled:
The purpose of the study was to assess the efficacy of Helicobacter pylori (HP) infection treatment in children with the nephrotic syndrome, using non-invasive urea breathing test (13C UBT). The study comprised 20 children with nephrotic syndrome treated with prednisone. Children were divided into two groups: those who recurred prednisone for a short time (1-3 months) and those treated longer than 6 months. In all children gastroscopic examination, histopathologic assessment of gastric mucous membrane specimens and 13C UBT were performed. 65% of nephrotic children was HP (+). In those treated for 1-3 months incidence of HP infection was 40%, whereas in those were treated longer than 6 months it was 90%. In all children treatment of HP infection was instituted. Seven weeks after cessation of treatment its efficacy was assessed by 13C UBT. The treatment was successful in all nephrotic children. In the nephrotic controls with negative histopathologic assessment for HP infection the results of UBT were normal.
Conclusion:
1. Children with the nephrotic syndrome are more susceptible to HP infection as compared with healthy ones. 2. In those children treatment of HP infection is efficient. 3. 13C UBT allows to estimate HP infection treatment efficacy in a non-invasive way.
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