Does Helicobacter pylori infection affect indirect hepatic fibrosis tests?

  • 0Department of Internal Medicine, Dokuz Eylul University School of Medicine, Izmir, Turkiye.

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Summary

This summary is machine-generated.

Helicobacter pylori infection does not affect the accuracy of non-invasive liver fibrosis tests, including the AST-to-Platelet Ratio Index (APRI) and Fibrosis-4 (FIB-4) score. These biochemical markers remain reliable for assessing liver fibrosis regardless of H. pylori status.

Area Of Science

  • Hepatology
  • Gastroenterology
  • Biochemistry

Background

  • Early detection of chronic liver disease fibrosis is vital for patient prognosis.
  • Non-invasive biochemical tests like APRI and FIB-4 are used for fibrosis evaluation.
  • The impact of Helicobacter pylori (H. pylori) on these fibrosis tests is not well understood.

Purpose Of The Study

  • To investigate the influence of H. pylori infection on the accuracy of APRI and FIB-4 scores in assessing liver fibrosis.

Main Methods

  • 190 adult patients with gastric and liver biopsies were analyzed.
  • Patients were grouped by fibrosis severity (mild, moderate, advanced) and H. pylori status.
  • Demographic, clinical, laboratory, and histopathological data were compared.

Main Results

  • H. pylori was present in 71% of patients.
  • No significant differences in APRI or FIB-4 scores were found between H. pylori-positive and negative groups.
  • APRI and FIB-4 scores showed significant differences across fibrosis severity groups, independent of H. pylori presence.

Conclusions

  • H. pylori infection does not significantly affect APRI and FIB-4 scores.
  • APRI and FIB-4 are reliable tools for assessing liver fibrosis, irrespective of H. pylori status.

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