The effect of radioiodine on eradication of Helicobacter pylori infection in patients with thyroid cancer—A pilot study

Recently, 32% of Helicobacter pylori (H pylori) infected patients who were treated for differentiated thyroid carcinoma (DTC) were found to have a negative urease breath test at 2 months posttreatment. Our objectives were to eradication of clarify equivocal findings, and determine whether radioiodin...

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Publicado en:Operative Techniques in Otolaryngology - Head & Neck Surgery Vol. 23; no. 3; pp. 206 - 211
Autores principales: Shmuely, Haim, Friedman, Michael, Aronov, Igor, Bernstine, Hanna, Yahav, Jacob, Samra, Zmira, Chodick, Gabriel, Hamilton, Craig S., Samuelson, Christian G., Groshar, David
Formato: research Journal Article
Publicado: W B Saunders Sep2012
Acceso en línea:Ver este registro en EBSCOhost
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        10.1016/j.otot.2012.03.001
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        atl: The effect of radioiodine on eradication of Helicobacter pylori infection in patients with thyroid cancer—A pilot study
      aug:
        au:
          Shmuely, Haim
          Friedman, Michael
          Aronov, Igor
          Bernstine, Hanna
          Yahav, Jacob
          Samra, Zmira
          Chodick, Gabriel
          Hamilton, Craig S.
          Samuelson, Christian G.
          Groshar, David
        affil: Department of Internal Medicine, Rabin Medical Center, Beilinson Hospital, Petah Tiqwa and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
      sug:
        subj:
          Iodine
          Helicobacter Infections Diagnosis
          Radioisotopes
          Pilot Studies
          Human
          Thyroid Neoplasms
          Israel
      ab: Recently, 32% of Helicobacter pylori (H pylori) infected patients who were treated for differentiated thyroid carcinoma (DTC) were found to have a negative urease breath test at 2 months posttreatment. Our objectives were to eradication of clarify equivocal findings, and determine whether radioiodine eradicates this chronic bacterial infection. Twenty-eight patients (25 DTC patients and 3 with hyperthyroidism) positive for H pylori stool antigen were treated with oral radioiodine (131I) at a dose of 100 to 200 mCi in 18 patients with thyroid carcinoma; 30 mCi in 1 patient with a significant residual mass in the thyroid bed after surgery; and 4 mCi in 6 patients who had been treated with 100 to 150 mCi over the last 5 years. The hyperthyroid patients received 10 to 20 mCi. To standardize the results, and better compare with a previous study, only those patients who received a dose of 100 to 200 mCi were included for analysis. All 18 DTC patients who tested positive for H pylori stool antigen before radioiodine treatment remained positive 3 months posttreatment, indicating an eradication rate of 0% with an upper 95% confidence limit of 18.53%. Radioiodine administered to H pylori infected patients did not eradicate infection in Israeli patients.
      pubtype: Periodical
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        research
        Journal Article
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    language: English
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