The Detection of Opisthorchis viverrini DNA in Bile Samples from Obstructive Jaundice Patients by Real-time PCR
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Creator 1. Nithikoon Aksorn
2. Sittiruk Roytrakul
3. Kawin Leelawat
4. Shinjiro Hamano
5. Sundusit Pengsa
6. Namthip Munponsri
7. Usa Lek-Uthai
Title The Detection of Opisthorchis viverrini DNA in Bile Samples from Obstructive Jaundice Patients by Real-time PCR
Publisher Text and Journal Publication
Publication Year 2561
Journal Title Vajira Medical Journal
Journal Vol. 62
Journal No. 3
Keyword Bile, Opisthorchis viverrini, Obstructive jaundice, Real-time PCR, Conventional PCR
URL Website https://tci-thaijo.org/index.php/VMED
Website title Vajira Medical Journal (วชิรเวชสาร)
ISSN 0125-1252
Abstract Objective: To detect Opisthorchis viverrini (O. viverrini) DNA in bile samples from obstructive jaundice patients by real-time PCR assay and to compare the results of real-time PCR with conventional PCR. Methods: Bile samples were collected from 43 patients with obstructive jaundice from the Department of Surgery, Rajavithi Hospital and the Department of Surgery and Department of Diagnostic Radiology, Udon Thani Cancer Hospital. Twenty-eight cholangiocarcinoma (CCA) and 15 non-CCA patients underwent endoscopic retrograde cholangiography (ERCP) and biliary tract surgery. All bile samples were detected for O. viverrini DNA by real-time PCR and conventional PCR. The results of positive and negative bile samples for O. viverrini DNA detection by real-time PCR and conventional PCR detection were compared. Results: Thirteen (30.2%) out of 43 bile samples were O. viverrini DNA positive. Nine of 13 bile samples were positive by real-time PCR and conventional PCR, while 4 bile samples were positive only by real-time PCR. Thirty (69.8%) bile samples were negative for O. viverrini DNA by both methods. The sensitivity, specificity, positive and negative predictive values of the real-time PCR were 100%, 88.2%, 69.2% and 100%, respectively. Conclusion: Real-time PCR assay is suitable for detection of O. viverrini DNA in bile samples especially in obstructive jaundice patients.
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