The Role of M2 Pyruvate Kinase in the Screening of Bowel Inflammation

Ruswhandi*, Marcellus Simadibrata**, Irsan Hasan**

*Division of Gastroentero-hepatology, Department of Internal Medicine Gatot Soebroto Hospital, Jakarta

**Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine University of Indonesia/Dr. Cipto Mangunkusumo General National Hospital, Jakarta

**Division of Hepatobiliary, Department of Internal Medicine, Faculty of Medicine University of Indonesia/Dr. Cipto Mangunkusumo General National Hospital, Jakarta

ABSTRACT

Background: This is a study to determine if M2 Pyruvate Kinase (M2-PK) can be used to screen the presence of bowel inflammation.

Method: The study design being used is diagnostic test. In this study, we recruited 76 participants and performed colonoscopy examination as a gold standard and faecal M2-PK as the examined procedure.

Results: From the result of this study, we identified the important role of M2-PK to screen the presence of bowel inflammation with the cut-off point of 1.05 U/mL compared to colonoscopy as gold standard with the sensitivity of 86.2%, specificity 81.8%, positive predictive value 96.6%, and negative predictive value 50%.

Conclusion:  From the result of this study, we suggested M2-PK examination to screen bowel inflammation in patients with lower gastrointestinal tract problems.

Keywords: M2 Pyruvate kinase, colonoscopy, screening, intestinal inflammation

Indones J Gastroenterol Hepatol Dig Endosc Vol.16, No.1, April 2015 (FULL TEXT)

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