Guidelines for the management of Helicobacter pylori infection in Japan: 2024 revised edition - PubMed
5 hours ago
- #Gastric Cancer
- #Helicobacter pylori
- #Guidelines
- The Japanese Society for Helicobacter Research (JSHR) published the 2024 revised edition of H. pylori management guidelines in Japanese.
- All H. pylori infectious diseases remain indications for eradication, with no change in this basic policy.
- Nucleic acid amplification was added as a new diagnostic method, and the effects of proton-pump inhibitors (PPIs) on diagnostic tests were updated.
- Potassium-competitive acid blockers are superior to PPIs in 1-week triple therapy with amoxicillin and clarithromycin.
- A flowchart for eradication therapy was provided for use in real-world clinical settings.
- For gastric cancer prevention, earlier age eradication is recommended, and strategies for adolescents are described.
- Some clinical questions on gastric cancer prevention were identified, but evidence was insufficient for recommendations based on clinical importance.