Kyoto global consensus report on Helicobacter pylori gastritis
Kentaro Sugano,Jan Tack,Ernst J. Kuipers,David Y. Graham,Emad M. El-Omar,Soichiro Miura,Ken Haruma,Masahiro Asaka,Naomi Uemura,Peter Malfertheiner +9 more
TLDR
A global consensus for gastritis was developed for the first time, which will be the basis for an international classification system and for further research on the subject.Abstract:
Objective To present results of the Kyoto Global Consensus Meeting, which was convened to develop global consensus on (1) classification of chronic gastritis and duodenitis, (2) clinical distinction of dyspepsia caused by Helicobacter pylori from functional dyspepsia, (3) appropriate diagnostic assessment of gastritis and (4) when, whom and how to treat H. pylori gastritis. Design Twenty-three clinical questions addressing the above-mentioned four domains were drafted for which expert panels were asked to formulate relevant statements. A Delphi method using an anonymous electronic system was adopted to develop the consensus, the level of which was predefined as ≥80%. Final modifications of clinical questions and consensus were achieved at the face-to-face meeting in Kyoto. Results All 24 statements for 22 clinical questions after extensive modifications and omission of one clinical question were achieved with a consensus level of >80%. To better organise classification of gastritis and duodenitis based on aetiology, a new classification of gastritis and duodenitis is recommended for the 11th international classification. A new category of H. pylori -associated dyspepsia together with a diagnostic algorithm was proposed. The adoption of grading systems for gastric cancer risk stratification, and modern image-enhancing endoscopy for the diagnosis of gastritis, were recommended. Treatment to eradicate H. pylori infection before preneoplastic changes develop, if feasible, was recommended to minimise the risk of more serious complications of the infection. Conclusions A global consensus for gastritis was developed for the first time, which will be the basis for an international classification system and for further research on the subject.read more
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Management of Helicobacter pylori infection—the Maastricht V/Florence Consensus Report
Peter Malfertheiner,Francis Mégraud,Colm O'Morain,Javier P. Gisbert,Ernst J. Kuipers,A. T. R. Axon,Franco Bazzoli,Antonio Gasbarrini,John Atherton,David Y. Graham,Richard H. Hunt,Paul Moayyedi,Theodore Rokkas,Massimo Rugge,Michael Selgrad,Sebastian Suerbaum,Kentaro Sugano,Emad M. El-Omar +17 more
TL;DR: This fifth edition of the Maastricht Consensus Report describes how experts from 24 countries examined new data related to H. pylori infection in the various clinical scenarios and provided recommendations on the basis of the best available evidence and relevance.
Journal ArticleDOI
Rome IV - Gastroduodenal Disorders.
Stanghellini,Nicholas J. Talley,Francis K.L. Chan,William L. Hasler,Juan-R. Malagelada,Hidekazu Suzuki,Jan Tack +6 more
TL;DR: A slightly modified classification into the following 4 categories is proposed: functional dyspepsia, characterized by 1 or more of the following: postprandial fullness, early satiation, epigastric pain, and epIGastric burning.
Journal ArticleDOI
The Toronto Consensus for the Treatment of Helicobacter pylori Infection in Adults
Carlo A Fallone,Naoki Chiba,Naoki Chiba,Sander Veldhuyzen van Zanten,Lori A. Fischbach,Javier P. Gisbert,Richard H. Hunt,Nicola L. Jones,Craig Render,Grigorios I. Leontiadis,Paul Moayyedi,John Marshall +11 more
TL;DR: These consensus statements provide a review of the literature and specific, updated recommendations for eradication therapy in adults and recommend that all H pylori eradication regimens now be given for 14 days.
Journal ArticleDOI
Association Between Helicobacter pylori Eradication and Gastric Cancer Incidence: A Systematic Review and Meta-analysis
Yi-Chia Lee,Tsung-Hsien Chiang,Chu-Kuang Chou,Yu-Kang Tu,Wei-Chih Liao,Ming-Shiang Wu,David Y. Graham +6 more
TL;DR: In a systematic review and meta-analysis of randomized controlled trials and observational studies, eradication of H pylori infection is associated with a reduced incidence of gastric cancer.
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Review article: the global emergence of Helicobacter pylori antibiotic resistance.
Irene Thung,H. Aramin,Vera Vavinskaya,Samir Gupta,Jason Y. Park,Sheila E. Crowe,Mark A. Valasek +6 more
TL;DR: This study highlights the importance of knowing the carrier and removal status of canine coronavirus, as a source of infection for other animals, not necessarily belonging to the same breeds.
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