Diagnosis of Helicobacter in Israel

Professor Moshe (Erwin) Santo

Head of the Institute for the Treatment of Digestive System and Liver Diseases

At the Top Ichilov, the treatment of each patient with gastrointestinal diseases involves a comprehensive set of procedures aimed at eliminating not only clinical manifestations but also the underlying cause of the pathology. Therefore, Israeli gastroenterologists have included gastroscopy with biopsy and Helicobacter Pylori determination in their patients' diagnostic examination program.

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30%

of diagnoses made in CIS countries are not confirmed at the Top Ichilov clinic

100%

high-accuracy diagnostic program

1230

procedures using the modern "Da Vinci" system

Preparation for Examination

Various inflammatory diseases of the digestive tract can be called an epidemic of the 21st century. Esophagitis, gastritis, ulcers, cholecystitis, pancreatitis — all these pathologies are diagnosed annually in millions of patients. Previously, the onset of these diseases was attributed to various factors: stress, poor nutrition, alcohol consumption, smoking. Of course, all these adverse factors significantly increase the risk of developing inflammatory processes in the gastrointestinal tract; however, it is now known that all the aforementioned diseases have a bacterial nature, specifically arising from the presence of Helicobacter Pylori in the body — a bacterium that infects various parts of the stomach and intestines.

1. Before proceeding with gastroscopy with biopsy for the HP test, the clinic's doctors collect a complete medical history of the patient's life and illness: facts such as previous radiation or surgical treatment of the esophagus and stomach, allergies, blood clotting disorders, heart pathology, and pregnancy must be known to the doctor.
2. Very important information for the specialists at Top Ichilov is the list of medications that the patient has taken and/or continues to take over the past two weeks. Some medications, such as antibiotics and acid-reducing drugs, can lead to false results. Be sure to inform the doctor about the medications you are taking; it may be necessary to discontinue them for a while.
3. The same applies to medications that reduce clotting and thin the blood: to prevent bleeding at the biopsy site, it is better to discontinue them temporarily.
4. Food and liquid intake should be restricted for 8 hours before the procedure.

After Gastroscopy

The gastroscopy procedure with biopsy lasts 30—60 minutes. After its completion, the patient remains under the supervision of doctors until the effects of the sedative medications wear off. The patient will be able to eat after the numbness of the tongue and throat caused by the local anesthetic has completely passed. Due to the intake of sedative medications and the biopsy, it is advisable not to drive, consume alcohol, eat irritating foods (hot, spicy), or take blood-thinning medications (aspirin, etc.) for 12-14 hours.

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Who is Gastroscopy with Biopsy and Helicobacter Pylori Determination Indicated For?

In the presence of an inflammatory process in the digestive organs (especially in the upper gastrointestinal tract) and existing symptoms (heartburn, belching, pain syndrome, etc.), doctors at the Top Ichilov may prescribe gastroscopy with subsequent HP testing (urease test), named after the first letters of the bacterium's name Helicobacter Pylori.

Gastroscopy with Biopsy: Procedure

Endoscopic examination with biopsy is an unpleasant procedure; therefore, at Top Ichilov, it is performed under "light" sedation (medicated anesthesia), allowing the patient to feel neither pain nor discomfort.

The doctor introduces an endoscope through the oral cavity and esophagus into the patient's stomach and examines the gastric mucosa. Then, biopsy forceps are inserted into the endoscope's instrument channel, with which two pieces of tissue are taken from the antrum and body of the stomach.

The extracted samples are placed in a special reagent, which doctors use to determine the presence or absence of H. Pylori on the gastric mucosa.