Document Detail


Effect of simethicone on the accuracy of the rapid urease test.
MedLine Citation:
PMID:  9831407     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Simethicone, which is a principal ingredient in the defoaming agent used during gastroscopy, can inhibit the growth of Helicobacter pylori (MIC, 64-128 mg/l). This prospective study was designed to evaluate the in vivo and in vitro effects of simethicone on the accuracy of the rapid urease test (RUT). METHODS: In the in vivo study, three sets of gastric biopsies (two from the antrum, and one from the corpus) were taken from 75 patients. The first set was examined histologically, and the second set was used for the RUT (pre-simethicone RUT). Then, 25 ml simethicone (1200 mg/l) was introduced into the stomach for a contact time of 1 min. A third set of gastric biopsies was taken for the RUT (post-simethicone RUT). In the in vitro clinical study, 41 patients were recruited. The first set of gastric biopsies was used for the RUT (pre-incubation RUT). The second set was incubated in 1 ml of simethicone for 5 min before being used for the RUT (post-incubation RUT). In the spectrophotometric study, urease activity before and after incubation in simethicone for 5 min was quantified in 12 patients by measuring the absorbance at 560 nm. RESULTS: Reading at 15 min, the concordance rate between the pre-simethicone and post-simethicone RUT was 98%. In the in vitro clinical study, the concordance rate between the pre-incubation and post-incubation RUT was 97%. The spectophotometric study showed a significant reduction of 43% in urease activity after incubation in simethicone. CONCLUSION: The application of a defoaming agent containing simethicone does not affect the accuracy of the RUT. However, simethicone modestly suppresses urea hydrolysis.
Authors:
F H Ng; S Y Wong; C Kng; S L Chow; K C Lai; W F Ng
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of gastroenterology & hepatology     Volume:  10     ISSN:  0954-691X     ISO Abbreviation:  Eur J Gastroenterol Hepatol     Publication Date:  1998 Oct 
Date Detail:
Created Date:  1999-01-27     Completed Date:  1999-01-27     Revised Date:  2009-10-16    
Medline Journal Info:
Nlm Unique ID:  9000874     Medline TA:  Eur J Gastroenterol Hepatol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  851-4     Citation Subset:  IM    
Affiliation:
Department of Medicine, Ruttonjee Hospital, Wan Chai, Hong Kong, China.
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MeSH Terms
Descriptor/Qualifier:
Diagnostic Techniques, Digestive System
Helicobacter Infections / diagnosis
Helicobacter pylori / drug effects,  enzymology,  isolation & purification
Humans
Prospective Studies
Sensitivity and Specificity
Simethicone / pharmacology*
Stomach / drug effects*,  enzymology*,  microbiology
Urease / metabolism*
Chemical
Reg. No./Substance:
8050-81-5/Simethicone; EC 3.5.1.5/Urease

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