H. pylori-Associated Gastritis, Gastritis after H. pylori Eradication and H. pylori-Negative Gastritis: Algorithm of Diagnosis and Treatment (Literature Review and Resolution of the Expert Panel of the Russian Gastroenterological Association)-Reference-Cited by-同舟云学术

H. pylori-Associated Gastritis, Gastritis after H. pylori Eradication and H. pylori-Negative Gastritis: Algorithm of Diagnosis and Treatment (Literature Review and Resolution of the Expert Panel of the Russian Gastroenterological Association)

Published:2024-08-20 Issue:3 Volume:34 Page:7-23
ISSN:2658-6673
Container-title:Russian Journal of Gastroenterology, Hepatology, Coloproctology
language:
Short-container-title:Rossijskij žurnal gastroènterologii, gepatologii, koloproktologii

Author:

Ivashkin V. T.¹^ORCID,Maev I. V.²^ORCID,Lapina T. L.¹^ORCID,Kucheryavyy Yu. A.³^ORCID,Abdulkhakov S. R.⁴^ORCID,Alekseeva O. P.⁵^ORCID,Alekseenko S. A.⁶^ORCID,Andreev D. N.²^ORCID,Bakulin I. G.⁷^ORCID,Bakulina N. V.⁷^ORCID,Bordin D. S.⁸^ORCID,Galeeva Z. M.⁹^ORCID,Dekhnich N. N.¹⁰^ORCID,Korochanskaya N. V.¹¹^ORCID,Kuvaev R. O.¹²^ORCID,Livzan M. A.¹³^ORCID,Osipenko M. F.¹⁴^ORCID,Pirogov S. S.¹⁵^ORCID,Simanenkov V. I.⁷^ORCID,Storonova O. A.¹^ORCID,Tertychnyy A. S.¹^ORCID,Trukhmanov A. S.¹^ORCID,Uspenskiy Yu. P.¹⁶^ORCID,Khlynov I. B.¹⁷^ORCID,Tsukanov V. V.¹⁸^ORCID

Affiliation:

1. I.M. Sechenov First Moscow State Medical University (Sechenov University)

2. Russian University of Medicine

3. Ilyinskaya Hospital

4. Kazan (Volga Region) Federal University; Kazan State Medical University

5. Privolzhsky Research Medical University

6. Far Eastern State Medical University

7. North-Western State Medical University named after I.I. Mechnikov

8. Russian University of Medicine; A.S. Loginov Moscow Clinical Scientific Center; Tver State Medical University

9. Kazan State Medical Academy — Branch of the Russian Medical Academy of Continuous Professional Education

10. Smolensk State Medical University

11. Kuban State Medical University; Krai Clinical Hospital No. 2

12. Clinical Oncological Hospital; N.I. Pirogov Russian National Research Medical University

13. Omsk State Medical University

14. Novosibirsk State Medical University

15. Moscow Research Oncological Institute named after P.A. Gertsen — Branch of National Medical Research Radiological Center

16. First Saint-Petersburg State Medical University named after Academician I.P. Pavlov; Saint Petersburg State Pediatric Medical University

17. Ural State Medical University

18. Federal Research Center “Krasnoyarsk Science Center of Siberian Branch of the Russian Academy of Sciences”, Separate Division “Scientific Research Institute of Medical Problems of the North”

Abstract

Aim: to provide the basic points of the Expert Panel of the Russian Gastroenterological Association with discussion of measures to improve diagnostics, treatment and management of chronic gastritis patients.Key points. In the Russian Federation in 2021 more than 30 million patients diagnosed with “Gastritis and duodenitis” were recorded (K29 in accordance with International Classification of Diseases-10). H. pylori incidence rate in the Russian population has reduced and presently is about 40 %. In chronic gastritis pattern H. pylori-associated gastritis has still dominated though gastritis percent after successful H. pylori eradication, reactive gastropathy (including reflux gastritis) and autoimmune gastritis, has increased. Endoscopic and histologic examinations serve as key diagnostic techniques that provide a means for assessing the ethiology of gastritis, topography and degree of atrophic changes, gastritis staging as per OLGA/OLGIM system that properly correlates with the risk of stomach cancer and determines endoscopic examination strategy. H. pylori eradication therapy of gastritis serves as an etiotropic treatment and makes it possible to prevent progression of atrophy and stomach cancer. Conventional triple therapy combined with bismuth tripotassium dicitrate allows for achieving optimal cure rates of H. pylori eradication. Addition of rebamipide to regimens of H. pylori eradication improves their efficiency. Rebamipide arrests symptoms of dyspepsia in the case of chronic gastritis and functional dyspepsia. The administration of rebamipide for chronic gastritis makes it possible to influence the syndrome of increased epithelial permeability and inflammation, which makes it advisable to study it as a means of preventing stomach cancer and the progression of atrophy in various types of chronic gastritis.Conclusion. Members of the Expert Panel has approved the algorithm of diagnosis and treatment of H. pylori-associated gastritis, gastritis after H. pylori eradication and H. pylori-negative gastritis at the diagnostic stage in the case of initial presentation and long-term follow-up when needed.

Publisher

Russian Gastroenterolgocial Society

Reference85 articles.

1. Kotova E.G., Kobyakova O.S., Aleksandrova G.A., Golubev N.A., Oskov Yu.I., Polikarpov A.V., et al. General morbidity rate of the adult population of Russia in 2021: Statistical materials. Moscow: Central Scientific-Research Institute of Health Organization and Informatization of the Ministry of Health of the Russian Federation, 2022. (In Russ.)].

2. Malfertheiner P., Megraud F., Rokkas T., Gisbert J.P., Liou J.M., Schulz C., et al.; European Helicobacter and Microbiota Study group. Management of Helicobacter pylori infection: The Maastricht VI/Florence consensus report. Gut. 2022:gutjnl-2022-327745. DOI: 10.1136/gutjnl-2022-327745

3. Bordin D., Morozov S., Plavnik R., Bakulina N., Voynovan I., Skibo I., et al. Helicobacter pylori infection prevalence in ambulatory settings in 2017–2019 in Russia: The data of real-world national multicenter trial. Helicobacter. 2022;27(5):e12924. DOI: 10.1111/hel.12924

4. Russian Gastroenterological Association, Russian Endoscopic Society, Scientific Society for the Clinical Study of Human Microbiome, Interregional Association for Clinical Microbiology and Antimicrobial Chemotherapy. Gastritis and duodenitis: Clinical recommendations. Moscow, 2024. (In Russ.)]. URL: https:// cr.minzdrav.gov.ru/recomend/708_2

5. [Ivashkin V.T., Maev I.V., Lapina T.L., Fedorov E.D., Sheptulin A.A., Trukhmanov A.S., et al. Clinical recommendations of Russian Gastroenterological Association and RENDO Endoscopic Society on diagnosis and treatment of gastritis and duodenitis. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2021;31(4):70–99. (In Russ.)]. DOI: 10.22416/1382-4376-2021-31-4-70-99