2006, Number 1
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Rev Hosp Jua Mex 2006; 73 (1)
Three therapeutic schemes to eradicate Helicobacter pilory in a group of patients with chronic gastritis and dyspepsia
Sánchez HJ, Mejía LS, Zapata IL, Rodríguez MA, García RE
Language: Spanish
References: 34
Page: 16-21
PDF size: 81.60 Kb.
ABSTRACT
Antecedents. Although
Helicobacter pylori (HP) is the main cause of chronic gastritis, it still does not exist relation between dyspeptic symptoms and improvement of such after eradicating the bacterium.
Objective. To value and compare the effectiveness of three therapeutic schemes, for eradication and improvement of the symptoms of the patients with dyspepsia, gastritis and HP.
Methodology. Prospective, longitudinal, comparative study. It was made endoscopy and biopsy of the gastric mucosa to all the patients. They received treatment with three different random selected schemes and clinical evaluation and breath test for eradication of HP were made.
Results. 60 patients with age average of 49 years, 39 women and 21 men were included. Group A received three drugs in a single package (pylopac) during seven days, they had improvement in 61.9% and eradication of 85.7%. Group B received three drugs by 14 days, with improvement of the symptoms of 47,6% and eradication of 66.6%. Group C received four drugs during seven days with improvement of 77,7% and eradication of 66.6%.
Conclusions. There was no correlation between the improvement of the symptoms and the eradication of HP in none of the three groups. The persistence of the symptoms was superior in group C (77.7%) in comparison with group B (47.6%). Also, the eradication in the group A was superior (85.7%) that group B and C (66%).
REFERENCES
Hawell CU, Hunt RH. Guidelines for the management of Helicobacter pylori infection. Guidelines for the management of Helicobacter pylori infection. Am J Gastroenterol 1998; 93: 2330-8.
Hunt RH, Fallone CA, Thomson AB. Canadian Helicobacter Study Group. Canadian Helicobacter pylori consensus conference update. Infections in adults. Can J Gastroenterol 1998; 13: 213-6.
Hunt R, et al. Canadian Helicobacter pylori consensus conference. Can J Gastroenterol 1998; 12: 31-41.
Helicobacter pylori Consensus Report of the 1997 Asia Pacific. Consensus Conference on the management of Helicobacter pylori infection. Helicobacter pylori Consensus Report of the 1997 Asia Pacific. Consensus Conference on the management of Helicobacter pylori infection. J Gastroenterol Hepatol 1998; 13: 1-12.
Rokkas T, Pursey, Uzoechina E, Dorrington L, et al. Campylobacter pylori and non ulcer dyspepsia. Am J Gastroenterol 1987; 82(11): 1149-52.
Conferencia Española de Consenso sobre la infección por Helicobacter pylori Conferencia Española de Consenso sobre la infección por Helicobacter pylori. Rev Esp Enferm Dig 1999; 91: 777-84.
Guarner J, Mohar A, Parsonnet J. Halperin D. The association of Helicobacter pylori with gastric cancer and preneoplastic gastric lesions in Chiapas. México. Cancer 1993; 71: 297-301.
John Danesh, Martin Lawrence, Mike Murphy, Sarah Roberts, Rory Collins. MBBS, MSc Systematic Review of the Epidemiological Evidence on Helicobacter pylori infection and nonulcer or Uninvestigated Dyspepsia. Arch Intern Med 2000; 160: 1192-8.
NIH Consensus Development Panel J. Helicobacter pylori in peptic ulcer disease. Helicobacter pylori in peptic ulcer disease. JAMA 1994; 272: 65-9.
Gilvarry J, Buckley MJ, Beattie S, et al. Eradication of Helicobacter pylori effects symptoms in non-ulcer dyspepsia. Scand J Gastroenterol 1997; 32: 535-40.
O’Connor HJ. Helicobacter pylori and dyspepsia: physicians’attitudes, clinical practice, and prescribing habits. Aliment Pharmacol Ther 2002; 16(13): 487-96.
Lassen AT, Hallas J, Schaffalitzky de Muckadell OB. Helicobacter pylori test and eradicate versus prompt endoscopy for management of dyspeptic patients: 6-7 year follow up of a randomised trial. Gut 2004; 53(12): 1758-63.
Moayyedi P, Feltbower R, Brown J, Mason S, Mason J, Nathan J, Richards ID, Dowel AC, Axon AT. Effect of population screening and treatment for Helicobacter pylori on dyspepsia and quality of life in the community: a randomised controlled trial. Leeds HELP Study Group. Lancet 2000; 355(13): 1685-9.
Van der Hulst RWM, van der Ende A, Dekker F, ten kate FJW, Weel JFL, Keller JJ, et al. Effect of Helicobacter pylori erradication on gastritis in relation to cagA: a prospective one year follow up study. Gastroenterology 1997; 113: 25-30.
Talley NJ, Vakil N, Ballard ED II, Fennerty MB. Absence of benefit of eradicating Helicobacter pylori in patients with nonulcer dyspepsia. New Engl J Med 1999; 341: 1106-11.
Risher RS, Parkman HP. Management of nonulcer dyspepsia New Engl J Med 1998; 339: 1376-81.
Talley NJ, Zinsmeister AR, et al. Dispepsia and dispepsia subgroups: a population based study. Gastroenterology 1992; 102: 1259-68.
Blum AL, Arnold R, Stolte M, Fischer M, Koelz HR, and the Frosch Study Group Short course acid suppressive treatment for patients with functional dyspepsia: result depend on Helicobacter pylori status. Gut 2000; 47: 473-80.
Blum AI, Talley NJ, O’Morain C, et al. Lack of effect of treating Helicobacter pylori infection in patients with nonulcer dyspepsia. Omeprazol plus Clarithromycin and Amoxicillin Effect One Year alter treatment (OCAY) Study group. N Engl J Med 1998; 339: 1875-81.
Current European concepts in the management of Helicobacter pylori infection. The Maastricht Consensus Report. Current European concepts in the management of Helicobacter pylori infection. The Maastricht Consensus Report. Gut 1997; 41: 8-13.
Talley NJ, Janssens J, Lauritsen K, et al Eradication of Helicobacter pylori in functional dispepsia: randomised double blind placebo controlled trial with 12 months follow up. The Optimal Regiment Cures Helicobacter Induced Dispepsia (ORCHID) Study Group. Br Med J 1999; 318: 833-7.
McColl K, Murria L, El-Omar E, et al. Symptomatic Benedict from eradicating Helicobacter pylori infection in patients with nonulcer dyspepsia. N Engl J Med 1998; 339: 1869-74.
Veldhuyzen van Zanten SJA, Flook N, Chiba N, Armstrong D, Barkun A, et al. An evidence-based approach to the management of uninvestigated dyspepsia in the era of Helicobacter pylori. Can Med Assoc J 2000; 162(Suppl. 12): S3-S21.
Laine L, Schoenfeld P, Fennerty MB. Therapy for Helicobacter pylori in patients with nonulcer dyspepsia. A Meta-Analysis of Randomized. Controlled Trials. Ann Intern Med 2001; 134: 361-9.
Shrivastava Upendra K, Gupta Aman, Gupta Arun, Bhatia Arati Role of Helicobacter pylori functional dyspepsia Indian. J Surg 2004; 66: 6: 341-6.
Meurer LN, Bower DJ, Medical College of Wisconsin, Milwaukee. Winsconsin Management of Helicobacter pylori Infection. Am Fam Physician 2002; 65: 1327-39.
Nimish V. Dyspepsia, Non-Ulcer Dyspepsia and Helicobacter pylori. Rev Gastroenterol Disord 2001; 1(3): 139-46.
Katelaris PH, et al. A randomized comparison of quadruple and triple therapies for Helicobacter pylori eradication: the Quadrate study. Gastroenterology 2002; 123: 1763-9.
Vakil N, Lanza F, Schwartz H, Barth J. Seven day therapy for Helicobacter pylori in the United States. Aliment Pharmacol Ther 2004; 20: 99-10.
Chiba N, Rabo Redemaker J, et al. Meta-analysis of the efficacy of antibiotictherapy in eradicating Helicobacter pylori. Am J Gastroenterol 1992; 87: 1716-27.
Fischbach LA, Goodman KJ, Feldman M, Aragaki C. Sources of variation of Helicobacter pylori treatment success in adults worldwide: a meta-analysis International. J Epidemiol 2002; 31: 128-39.
Petrino R, Dinapoli A, et al Cure of chronic dispepsia with eradication of H pylori infection. J Gastroenterology 1991; 23: 213.
Lind T, Megraud F, et al. The Mach 2 study: Role of omeprazole in eradication of Helicobacter pylori with 1-week triple therapies. Gastroenterology 1999; 116: 248-53.
Bazzoli-like schemes are not optimal treatment for H pylori eradication in Brussels, Belgium Bazzoli-like schemes are not optimal treatment for H pylori eradication in Brussels, Belgium. Gastroenterology 1996; 110: A110.