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Gaceta Médica Boliviana

On-line version ISSN 1012-2966

Abstract

VALLEJOS ROCABADO, Ana Mabel. Fecal Calprotectin for the diagnosis of colon organic pathology. Gac Med Bol [online]. 2018, vol.41, n.2, pp.09-13. ISSN 1012-2966.

Objective:  to determine the sensitivity and specificity of fecal calprotectin and fecal occult blood test (FOBT) for the diagnosis of organic colon pathology. Methods:  an observational study was made, which intentionally included 246 patients of both sexes seen at the Japanese Bolivian Gastroenterological Institute of Cochabamba, due to abdominal pain, chronic diarrhea and weight loss. We performed fecal calprotectin and fecal occult blood laboratories, as well as colonoscopy as a control study. Results:  it was determined that the fecal calprotectin has a sensitivity of 86%, and specificity of 98%, with an association of 0,54 and a ratio of 0,75 according to the Pearson and Spearman coefficients respectively, in relation to colonoscopy and the diagnosis of organic pathology of colon. The fecal occult blood test showed a sensitivity of 79% but a specificity of 58%, according to the association and relationship with the control minimum of 0,21 and 0,22 according to the Pearson and Spearman coefficients. Conclusions:  The results show that fecal calprotectin presents high sensitivity and specificity for the diagnosis of organic colon pathology. Higher values were associated with greater lesion in the colonic mucosa.

Keywords : fecal Calprotectin; Fecal occult blood; Colonoscopy; Organic pathology of colon.

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