Hyperthyroidism Clinical Trial
Official title:
Effect of Radioactive Iodine on Eradication of Helicobacter Pylori in Patients Treated for Thyroid Diseases
Because of the high iodine uptake in the stomach, radioactive iodine treatment for thyroid
diseases (cancer or hyperthyroidism) or radioactive iodine administered for thyroid scan may
be able to eradicate H.pylori infection from the stomach of patients infected with H.pylori.
Also to test the hypothesis that CagA virulent strains of H.pylori are more common in
patients with thyroid cancer than with other thyroid diseases.
Objective To test eradicate H.pylori after administration of radioactive iodine (131I) to
patients with thyroid diseases and to evaluate their H.pylori CagA status .
Design Observational study
Setting
The Isotopic Institute at the Rabin Medical Center, Campus Beilinson Patients Consecutive
patients with thyroid diseases referred to the Isotopic Institute at the Rabin Medical
Center, Campus Beilinson for either radioactive iodine (131I) thyroid scan or radioactive
iodine (131I)treatment for their disease, will be screened, prior to the radioactive iodine,
for H. pylori infection and CagA protein by serology. Patient with positive serology for H.
pylori will be tested for active gastric infection using the H.pylori stool antigen test.
The study population will include all patients who tested positive for H.pylori both by
serology and stool antigen tests. Six to eight weeks and 6 month after administration of
radioactive iodine (131I) treatment , stool antigen or H.pylori will be tested again to
confirm persistence of H.pylori eradication.
Main Outcome Measure confirmed H.pylori eradication by the stool antigen test. The rate of
infection with virulent and caricogenic CagA H.pylori ,will be tested using the immunoblot
assay.
Summary
We will test in this study whether Helicobacter pylori is eradicated, after radioactive
iodine (131I) administration, from the stomach of patients with thyroid diseases. The rate
of CagA virulent and carcinogenic H.pylori infection in theses patients will be assessed.
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Observational Model: Cohort, Time Perspective: Prospective
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