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Breath
test procedure is very simple. Test is non-invasive
and during the test a patient doesn't experience any discomfort.
Since isotope breath test with stable
carbon labeled urea is absolutely safe it can be used for everybody
including children, elderly people, pregnant and lactating women.
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1.
As a rule the test is carried out in the morning after the
night fasting. Before the test beginning a
patient takes 200 ml of orange, grapefruit
or other juice.
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2.
10 min later a patient breathes out
into a special collector. |
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3.
A patient drinks water solution
of labelled preparation. To detect the H. pylori
bacterium one shoud take 13C-urea.
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4. 30
min after urea administration the
other breath is taken into the second collector.
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| Notes.
During the other breath tests the time and quantity of breath
samples collection are determined by the specific instructions.
E.g., for aminopyrine breath test on liver insufficiency breath
samples are taken every 20-30 min during 2-4 hours.. Ò |
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5.
13Ñ/12Ñ
isotope ratio is determined.
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Factors
which can interfere with breath test results
False-negative
result can be caused by:
- acid antisecretory agents and antibiotics administration during
the last 30 days before the test ;
- administration of bismuth containing preparation during the
last 30 days before the test;
- administration of protone-pump inhibitors (omeprazole, pantoprozole,
etc.) during the last 14 days before the test;
- non-fasting (a patient shouldn't eat for the last 6 hours before
the test);
- stomach resection.
False-positive
result can be caused by:
- stomach resection accompanied by growth of non-H.pylori bacteria;
- achlorhydria.
Patient
physical activity can also effect the breath test results, so
he/she should sit motionlessly during the whole test.
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