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Gastrointestinal Health and Infection Diagnostic Solutions
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November 2025

Gastrointestinal Health and Infection Diagnostic Solutions

 

Gastrointestinal health is a critical factor influencing overall human well-being. Digestive diseases such as Inflammatory Bowel Disease (IBD), Colorectal Cancer (CRC), and Helicobacter pylori infection, if not diagnosed and managed promptly, can significantly impact patients' quality of life. Statistics indicate that colorectal cancer is the third most common cancer globally, while H. pylori infection affects approximately half of the world's population.

 

 

Diagnostic Biomarkers for Gastrointestinal Inflammation and Infection

Modern diagnostic medicine utilizes specific biomarkers to provide accurate, non-invasive testing solutions for gastrointestinal inflammatory and infectious diseases. These biomarkers facilitate early screening, disease activity assessment, and treatment efficacy monitoring.

Detailed Overview of Core Diagnostic Biomarkers

Calprotectin

Calprotectin is a key protein complex abundant in neutrophils, serving as a highly sensitive and specific biomarker for assessing intestinal inflammation.

Clinical Applications:

Guideline-recommended marker for screening Inflammatory Bowel Disease (IBD)

Evaluating IBD activity for optimized disease management

An indicator for certain inflammatory conditions

 

Fecal Occult Blood Test (FOBT)

The Fecal Occult Blood Test is a simple, non-invasive diagnostic tool designed to detect hidden (occult) blood in stool samplesblood not visible to the naked eyewhich often indicates underlying gastrointestinal abnormalities.

Clinical Applications:

Early-stage Colorectal Cancer (CRC) screening

Evaluating gastrointestinal bleeding of unknown origin

Routine examination for gastrointestinal disorders

 

Helicobacter pylori Detection

H. pylori Antigen Test

This test identifies specific bacterial antigens in stool samples, making it ideal for detecting active infections.

H. pylori Antibody Test

This test detects antibodies (IgG, IgM, IgA) produced by the immune system in response to past or present H. pylori exposure, providing historical infection data.

Clinical Applications:

Aiding in the diagnosis of H. pylori-related disorders

Guiding antibiotic treatment decisions

Monitoring post-therapy eradication success

 

 

 

Clinical Application Guidelines

Test Parameter

Primary Use

Application Scenarios

Calprotectin

Intestinal inflammation assessment

IBD screening and monitoring, inflammatory disease differentiation

Fecal Occult Blood

GI bleeding screening

Early CRC screening, GI bleeding localization

H. pylori Antigen

Active infection diagnosis

Dyspepsia etiology investigation, pre-treatment evaluation

H. pylori Antibody

Infection history assessment

Epidemiological studies, immune response monitoring

 

Reference

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2. Molodecky NA, Soon IS, Rabi DM, Ghali WA, Ferris M, Chernoff G, et al. Increasing incidence and prevalence of the inflammatory bowel diseases with time, based on systematic review. Gastroenterology. 2012;142:4654. e42. quiz e30.

3. World Gastroenterology Organisation. Inflammatory Bowel Disease. WGO; 2015. [Accessed 18 September 2018]. World Gastroenterology Organisation Global Guidelines. http://www.worldgastroenterology.org/UserFiles/file/guidelines/inflammatory-bowel-disease-english-2015-update.pdf. [Google Scholar]

4. IBD Working Group of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition. Inflammatory bowel disease in children and adolescents: recommendations for diagnosisthe Porto criteria. J Pediatr Gastroenterol Nutr. 2005;41:17.

5. Stange EF, Travis SP, Vermeire S, Beglinger C, Kupcinkas L, Geboes K, et al. European Crohns and Colitis Organisation. European evidence based consensus on the diagnosis and management of Crohns disease: definitions and diagnosis. Gut. 2006;55(Suppl 1):i115.

6. Van Rheenen PF, Van de Vijver E, Fidler V. Faecal calprotectin for screening of patients with suspected inflammatory bowel disease: diagnostic meta-analysis. BMJ. 2010;341:c3369.

7. Menees SB, Powell C, Kurlander J, Goel A, Chey WD. A meta-analysis of the utility of C-reactive protein, erythrocyte sedimentation rate, fecal calprotectin, and fecal lactoferrin to exclude inflammatory bowel disease in adults with IBS. Am J Gastroenterol. 2015;110:44454.

8. Bernstein CN, Fried M, Krabshuis JH, Cohen H, Eliakim R, Fedail S, et al. World Gastroenterology Organization Practice Guidelines for the diagnosis and management of IBD in 2010. Inflamm Bowel Dis. 2010;16:11224.

9. Diamanti A, Panetta F, Basso MS, Forgione A, Colistro F, Bracci F, et al. Diagnostic work-up of inflammatory bowel disease in children: the role of calprotectin assay. Inflamm Bowel Dis. 2010;16:192630.

10. Dignass A, Eliakim R, Magro F, Maaser C, Chowers Y, Geboes K, et al. Second European evidence-based consensus on the diagnosis and management of ulcerative colitis part 1: definitions and diagnosis. J Crohns Colitis. 2012;6:96590.

11. Van Assche G, Dignass A, Reinisch W, van der Woude CJ, Sturm A, De Vos M, et al. European Crohns and Colitis Organisation (ECCO) The second European evidence-based Consensus on the diagnosis and management of Crohns disease: Special situations. J Crohns Colitis. 2010;4:63101.

12. Von Roon AC, Karamountzos L, Purkayastha S, Reese GE, Darzi AW, Teare JP, et al. Diagnostic precision of fecal calprotectin for inflammatory bowel disease and colorectal malignancy. Am J Gastroenterol. 2007;102:80313.

13. Moniuszko A, Głuszek S, Rydzewska G. Rapid fecal calprotectin test for prediction of mucosal inflammation in ulcerative colitis and Crohn disease: a prospective cohort study. Pol Arch Intern Med. 2017;127:3128.

14. Henderson P, Anderson NH, Wilson DC. The diagnostic accuracy of fecal calprotectin during the investigation of suspected pediatric inflammatory bowel disease: a systematic review and meta-analysis. Am J Gastroenterol. 2014;109:63745.

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