Risks and Benefits ofHelicobacter pyloriEradication: Current Status

Author:

Hunt Richard H1,Fallone Carlo2,van Zanten Sander Veldhuyzen3,Sherman Phil4,Smaill Fiona1,Thomson Alan BR5,the Canadian Helicobacter Study Group

Affiliation:

1. Division of Gastroenterology, Department of Medicine, McMaster University, Hamilton, Ontario, Canada

2. Division of Gastroenterology, Department of Medicine, McGill University, Montreal, Quebec, Canada

3. Division of Gastroenterology, Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada

4. Division of Gastroenterology and Nutrition, Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada

5. Division of Gastroenterology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada

Abstract

In patients with diseases known to be associated withHelicobacter pyloriinfection, such as peptic ulcer, treatment of the underlying infection is the standard of care. However, in most major consensus management guidelines, including those published in Canada, widespread testing forH pyloriinfection is not recommended. This practice is not encouraged because of insufficient evidence of cost-benefit in gastric cancer prevention, the potential for increases in antibiotic resistance and the controversial hypothesis of potential negative effects of eradication in certain clinical entities. For example, there is insufficient evidence to recommend against eradicatingH pyloridiscovered in a patient with symptoms of gastroesophageal reflux disease. The management guidelines designed specifically in Canada should, therefore, continue to be applied, withH pyloridiagnosed and treated in appropriately selected patients.

Funder

Abbott Canada

Publisher

Hindawi Limited

Subject

Gastroenterology,General Medicine

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