Helicobacter pylori: Basic Mechanisms to Clinical Cure

Since its rediscovery 10 years ago, Helicobacter pylori has reshaped our thinking about the course of peptic ulcer disease. Our approach to the patient with a duodenal ulcer has become one of attempting eradication therapy at the time of first diagnosis, in the hope of curing the ulcer disease. Gast...

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Main Authors: ABR Thomson, CN Williams
Format: Article
Language:English
Published: Wiley 1995-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1995/210176
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author ABR Thomson
CN Williams
author_facet ABR Thomson
CN Williams
author_sort ABR Thomson
collection DOAJ
description Since its rediscovery 10 years ago, Helicobacter pylori has reshaped our thinking about the course of peptic ulcer disease. Our approach to the patient with a duodenal ulcer has become one of attempting eradication therapy at the time of first diagnosis, in the hope of curing the ulcer disease. Gastric and duodenal ulceration are only two of the manifestations of this chronic antral infection; other complications of H pylori include gastritis, gastric cancer and possible maltomas. Therapy of H pylori infection is complicated and involves dual therapy with an antibiotic plus a protein pump inhibitor, such as omeprazole 20 mg bid plus amoxicillin 1 g bid for two weeks, triple or quadruple therapy with bismuth, two antibiotics and an H2-receptor antagonist. Vaccination against H pylori is on the far horizon.
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series Canadian Journal of Gastroenterology
spelling doaj-art-5139f36e2fff45d58c87859bbc790ece2025-02-03T05:59:15ZengWileyCanadian Journal of Gastroenterology0835-79001995-01-0192919510.1155/1995/210176Helicobacter pylori: Basic Mechanisms to Clinical CureABR Thomson0CN Williams1Division of Gastroenterology, Dalhousie University, Halifax, Nova Scotia, CanadaDivision of Gastroenterology, Dalhousie University, Halifax, Nova Scotia, CanadaSince its rediscovery 10 years ago, Helicobacter pylori has reshaped our thinking about the course of peptic ulcer disease. Our approach to the patient with a duodenal ulcer has become one of attempting eradication therapy at the time of first diagnosis, in the hope of curing the ulcer disease. Gastric and duodenal ulceration are only two of the manifestations of this chronic antral infection; other complications of H pylori include gastritis, gastric cancer and possible maltomas. Therapy of H pylori infection is complicated and involves dual therapy with an antibiotic plus a protein pump inhibitor, such as omeprazole 20 mg bid plus amoxicillin 1 g bid for two weeks, triple or quadruple therapy with bismuth, two antibiotics and an H2-receptor antagonist. Vaccination against H pylori is on the far horizon.http://dx.doi.org/10.1155/1995/210176
spellingShingle ABR Thomson
CN Williams
Helicobacter pylori: Basic Mechanisms to Clinical Cure
Canadian Journal of Gastroenterology
title Helicobacter pylori: Basic Mechanisms to Clinical Cure
title_full Helicobacter pylori: Basic Mechanisms to Clinical Cure
title_fullStr Helicobacter pylori: Basic Mechanisms to Clinical Cure
title_full_unstemmed Helicobacter pylori: Basic Mechanisms to Clinical Cure
title_short Helicobacter pylori: Basic Mechanisms to Clinical Cure
title_sort helicobacter pylori basic mechanisms to clinical cure
url http://dx.doi.org/10.1155/1995/210176
work_keys_str_mv AT abrthomson helicobacterpyloribasicmechanismstoclinicalcure
AT cnwilliams helicobacterpyloribasicmechanismstoclinicalcure