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Gastric contents was examined in 49 patients with duodenal bulb ulcers. Helicobacter pylori were isolated in 83.7% of cases. H. pylori density was found to be 10(3)-10(5) microbial cells per ml. Bacterioscopic studies with gram staining helped detect H. pylori in 79.6% of cases, cultural method revealed the bacteria in 63.3%, and urease test in 4.1% of cases. Poor efficacy of urease test is explained by its poor sensitivity (10(6) microbial cells per ml or higher). The authors analyze the frequency of H. pylori isolation in relation to the month of the examination and gastric contents coloring.
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