Clinical Gastroenterology Vol.22 No.9(3)

Theme Digestive Diseases Related to Bacteria -- To Understand Etiology and Control of Clinicopathological Conditions
Title Evaluation of Helicobacter pylori Eradication Therapy and Clinical Benefits of Eradication
Publish Date 2007/08
Author Masanori Ito Department of Medicine and Molecular Science, Hiroshima University
Author Masana Tatsugami Department of Medicine and Molecular Science, Hiroshima University
Author Yoshihiro Wada Department of Medicine and Molecular Science, Hiroshima University
Author Shinji Tanaka Department of Endoscopy, Hiroshima University
Author Masaharu Yoshihara Health Service Center, Hiroshima University
Author Kazuaki Chayama Department of Medicine and Molecular Science, Hiroshima University
[ Summary ] Helicobacter pylori (H. pylori) induces chronic gastritis and contributes to the occurrence of peptic ulcers as well as the gastric carcinogenesis. After eradication therapy, the recurrence of peptic ulcers decreases dramatically. Clinically, the urea breath test or the H. pylori stool antigen test (HpSA) test are beneficial to evaluate the outcome of eradication therapy. Histological gastritis, including inflammatory cell infiltration, atrophy and intestinal metaplasia, is improved through eradication therapy. However, it is still unclear whether eradication therapy can reduce the occurrence of gastric cancer. Even in cases with successful eradication therapy, intensive follow up should be carried out on these patients for gastric cancer screening.
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