2026-04-22T13:18:53Zhttps://uvadoc.uva.es/oai/request

oai:uvadoc.uva.es:10324/83702025-01-22T10:49:25Zcom_10324_1131com_10324_931com_10324_894col_10324_1201

Velayos Jiménez, Benito Fernández Salazar, Luis Ignacio Pons Renedo, Fernando Muñoz Moreno, María Fe Almaraz Gómez, Ana Aller de la Fuente, Rocío Ruiz, Lourdes Olmo Martínez, María Lourdes del 2015-02-17T08:56:48Z 2015-02-17T08:56:48Z 2012 Digestive Diseases Science. 2012 Jul;57(7):1880-1886 0163-2116 http://uvadoc.uva.es/handle/10324/8370 10.1007/s10620-012-2096-5 1880 7 1886 Digestive Diseases Science 57 The aim of this work is to investigate the accuracy of the urea breath test (UBT) performed immediately after emergency endoscopy in peptic ulcer bleeding (PUB). METHODS: Urea breath test was carried out right after emergency endoscopy in patients with PUB. The accuracy of this early UBT was compared to a delayed one after hospital discharge that was considered the gold standard. Clinical and epidemiological factors were analyzed in order to study their influence on the accuracy of the early UBT. RESULTS: Early UBT was collected without any complication and good acceptance from all the 74 patients included. In 53 of the patients (71.6%), a delayed UBT was obtained. Comparing concordance between the two tests we have calculated an accuracy of 83% for the early UBT. Sensibility and specificity were 86.36 and 66%, respectively, with a positive predictive value of 92.68% and negative predictive value of 50% (Kappa index = 0.468; p = 0.0005; CI: 95%). We found no influence of epidemiological factors, clinical presentation, drugs, times to gastroscopy, Forrest classification, endoscopic therapy, hemoglobin, and urea levels over the accuracy of early UBT. CONCLUSIONS: Urea breath test carried out right after emergency endoscopy in PUB is an effective, safe, and easy-to-perform procedure. The accuracy of the test is not modified by clinical or epidemiological factors, ulcer stage, or by the type of therapy applied. However, we have found a low negative predictive value for early UBT, so a delayed test is mandatory for all negative cases. eng info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by-nc-nd/4.0/ Attribution-NonCommercial-NoDerivatives 4.0 International Test de urea Endoscopia Accuracy of urea breath test performed immediately after emergency endoscopy in peptic ulcer bleeding info:eu-repo/semantics/article