A Malaysian consensus report on the diagnosis and treatment of Helicobacter pylori infection

Author:

Goh Khean‐Lee1ORCID,Lee Yeong Yeh2ORCID,Leow Alex Hwong‐Ruey3,Ali Raja Affendi Raja4,Ho Shiaw Hooi1,Mahadeva Sanjiv1ORCID,Mohd Said Rosaida Hj5,Muthukaruppan Chettiar Raman6,Tee Hoi Poh7

Affiliation:

1. Department of Medicine University of Malaya Kuala Lumpur Malaysia

2. School of Medical Sciences Universiti Sains Malaysia Kota Bharu Malaysia

3. Department of Gastroenterology Pantai Hospital Kuala Lumpur Malaysia

4. School of Medical and Life Sciences Sunway University Petaling Jaya Malaysia

5. Department of Medicine Hospital Serdang Serdang Malaysia

6. Department of Medicine Queen Elizabeth Hospital Kota Kinabalu Malaysia

7. Medical Department KPJ Pahang Specialist Hospital Kuantan Malaysia

Abstract

AbstractHelicobacter pylori is one of the most common chronic bacterial infections in humans and responsible for 90% of duodenal ulcers and 70–90% of gastric ulcers. Despite this, many misconceptions regarding the appropriate diagnostic method and treatment strategies still exist in the Malaysian clinical practice. Under the initiative of the steering committee, an expert panel consisting of nine key opinion leaders in the field of gastroenterology convened to develop a set of consensus statements that are relevant to the Malaysian healthcare practice. The panel members reviewed the current evidence on the management of H. pylori infection, focusing on the best practices that are relevant to the Malaysian population based on clinical experience and published clinical evidence. Using the modified Delphi method, the panel achieved consensus in three areas of H. pylori infection management: indications for testing, diagnosis, and treatment. The panel proposed a set of 19 consensus statements, which were synthesized via two rounds of blinded voting and group discussions. The recommendations provided are relevant to the Malaysian population and can be used as a guide by physicians across various healthcare settings to facilitate appropriate diagnostic testing and treatment of H. pylori infection.

Publisher

Wiley

Subject

Gastroenterology,Hepatology

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