The CLO test takes advantage of this chemical reaction to test for the presence of Helicobacter Pylori. The biopsy specimen from an OGD is placed into medium containing urea and indicator phenol red. When the Urea is hydrolysed by the H. Pylori in the specimen into NH3, the pH is raised and the indicator changes from yellow to RED.
The CLO test works by detecting when the medium becomes ALKALINE due to the ammonia.
This is in stark contrast to the Urease Breath Test, which detects the CO2 (via C13 labelled urea) produced from the reaction.
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