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De bepaling van occult bloed in faeces - UZ Leuven

De bepaling van occult bloed in faeces - UZ Leuven

De bepaling van occult bloed in faeces - UZ Leuven

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19) A new immunological test strip device for the rapid, quantitative detection of faecal <strong>occult</strong> blood.Trojan, Povse, Schroder, Ste<strong>in</strong>. Z gastroenterol. 2002;40(11):921-92420) Prevalence of concurrent disease <strong>in</strong> patients with iron deficiency anemia. Till, SH, Grundmann, MJ.BMJ 1997; 314:20621) Is upper gastro<strong>in</strong>test<strong>in</strong>al endoscopy <strong>in</strong>dicated <strong>in</strong> asymptomatic patients with a positive fecal <strong>occult</strong>blood test and negative colonoscopy? B<strong>in</strong>i, Rajapaksa, Valdes, We<strong>in</strong>shel. Am J Med 1999; 106:61322) Prospective evaluation of the gastro<strong>in</strong>test<strong>in</strong>al tract <strong>in</strong> patients with iron-deficiency anemia. Kepczyk,Kadakia. Dig Dis Sci 1995; 40:128323) Relative frequency of upper gastro<strong>in</strong>test<strong>in</strong>al and colonic lesions <strong>in</strong> patients with positive fecal<strong>occult</strong>-blood tests. Rockey, Koch, Cello et al. N Engl J Med 1998;339(3):153-15924) <strong>De</strong>tection of upper gastro<strong>in</strong>test<strong>in</strong>al blood with fecal <strong>occult</strong> blood tests. Rockey, Auslander,Greenberg. Am J Gastroenterol 1999;94(2):344-35025) <strong>De</strong>tection of <strong>occult</strong> upper gastro<strong>in</strong>test<strong>in</strong>al tract bleed<strong>in</strong>g: performance differences <strong>in</strong> fecal <strong>occult</strong>blood tests. Harewood, McConnell, Harr<strong>in</strong>gton et al. Mayo Cl<strong>in</strong> Proc. 2002;77:23-28Appraisel1) Welk type FOBT moet verkozen worden voor colorectale kankerscreen<strong>in</strong>g?-WHO and OMED (World Organisation for Digestive Endoscopy) 2002 (1)Guidel<strong>in</strong>es. Review. Studies geselecteerd volgens bepaalde criteria, gepubliceerd tussen 1990 en september 2001.Cancer yieldGuaiac Immuno Comb<strong>in</strong>atieHem<strong>occult</strong> ® Hem<strong>occult</strong> Sensa ® HemeSelect ® FlexSure ® Hem<strong>occult</strong> Sensa ® +HemeSelect ® n ref2/2 8/10 3/5 2099-7046 (17),(29)13/35 27/34 22/32 8065 (32)3/5 4/6, 3/7 4/5 403-1391 (21),(23),(28)16/23 19/23 8293 (26)13/20 16/20 17/20 8933 (30)Sensitiviteit (kanker)Guaiac Immuno Comb<strong>in</strong>atieHem<strong>occult</strong> ® Hem<strong>occult</strong> Sensa ® HemeSelect ® FlexSure ® Hem<strong>occult</strong> Sensa ® +HemeSelect ® n ref37,1% 79,4% 68,8% 65,6% 8065 (32)85,7% 78,6% 83,3% 87,5% 58,3% >500 (34)80,8% >500 (1)37,1% 8933 (30)65,2% >500 (2)46,6% >500 (3)79,4% 8293 (26)

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