II. Indications
- Dyspepsia evaluation
III. Tests
- Gastric Biopsy with Steiner's Stain
- Test Sensitivity: 95%
- Test Specificity: 99-100%
- Rapid Urease Test (e.g. CLO Test)
- Test Sensitivity: 93-97%
- Test Specificity: >95%
- H. pylori culture
- Test Sensitivity: 70-80%
- Test Specificity: 100%
V. Disadvantages
- Requires endoscopic biopsy
- Sensitivity altered for histology and urease activity
- Proton Pump Inhibitors
- Antibiotics
- Bismuth