TREATMENT OF HELICOBACTER PYLORI INFECTION AND IMPACT OF ITS ERADICATION IN PEPTIC ULCER DISEASE

Main Article Content

Arzu Jadoon
Fasiha Mazhar
Dara Jamali
Kainat Rashid
Professor Faisal Ziauddin

Keywords

.

Abstract

Introduction: Helicobacter pylori (H. pylori) continues to be a major worldwide health issue, impacting around 50% of the global population, despite the progress made in the field of medical science. H. pylori infection consistently causes chronic active gastritis and can culminate in serious gastroduodenal conditions, such as gastric mucosa-associated lymphoid tissue (MALT) lymphoma, noncardiac gastric cancer, and peptic ulcer disease.


Methodology: The study was conducted between July 2023 to December 2023 at a tertiary care hospital in Pakistan. A data collection form was used to collect patients ‘data which included demographic details, primary diagnosis, past medical history, past medication details, current medication in the hospital, ulcer associated symptoms and factors that could exacerbate the condition, and the prescription at hospital.


Results: A total of 84 participants were included in the study among whom 36 were males. 10.7% patients were presented with a wide spectrum of symptoms presenting complications. Hypertension and diabetes mellitus were common comorbid conditions, and the BMI mean was 28.71±2.43. The patients were observed over a period of six months and the relief of symptoms was noted. The severity of symptoms reduced in 63 (75%), the Quadruple Regimen was more effective for the complicated cases


Conclusion: The implementation of eradication therapy not only promotes the healing of ulcers and decreases the likelihood of them reoccurring, but also diminishes the long-term probability of developing gastric cancer. This highlights the importance of ongoing study and advancement in ways for managing H. pylori.

Abstract 52 | pdf Downloads 19

References

1. Hooi JKY, Lai WY, Ng WK, Suen MMY, Underwood FE, Tanyingoh D, et al. Global prevalence of Helicobacter pylori infection: systematic review and meta-analysis. Gastroenterology. 2017 Aug 1;153(2):420–9.
2. Kusters JG, van Vliet AHM, Kuipers EJ. Pathogenesis of Helicobacter pylori infection. Clin Microbiol Rev. 2006 Jul;19(3):449–90.
3. Chmiela M, Kupcinskas J. Review: pathogenesis of Helicobacter pylori infection. Helicobacter. 2019 Sep;24 Suppl 1:e12638.
4. Che, H., Xiong, Q., Ma, J. et al. Association of Helicobacter pylori infection with survival outcomes in advanced gastric cancer patients treated with immune checkpoint inhibitors. BMC Cancer 22, 904 (2022).
5. National Cancer Institute. Helicobacter pylori and Cancer [Internet]. National Cancer Institute. Cancer.gov; 2013. Available from: https://www.cancer.gov/about-cancer/causes-prevention/risk/infectious-agents/h-pylori-fact-sheet
6. UpToDate [Internet]. www.uptodate.com. Available from: https://www.uptodate.com/contents/association-between-helicobacter-pylori-infection-and-gastrointestinal-malignancy
7. Chey WD, Leontiadis GI, Howden CW, Moss SF. ACG Clinical Guideline: Treatment of Helicobacter pylori Infection. Am J Gastroenterol. 2017 Feb;112(2):212-239.
8. Liang B, Yuan Y, Peng XJ, Liu XL, Hu XK, Xing DM. Current and future perspectives for Helicobacter pylori treatment and management: From antibiotics to probiotics. Front Cell Infect Microbiol. 2022 Nov 25;12:1042070.
9. Yang, Z., Xiong, W., Yang, R. et al. A day-to-day management model improves patient compliance to treatment for Helicobacter pylori infection: a prospective, randomized controlled study. Gut Pathog 15, 38 (2023).
10. Thung I, Aramin H, Vavinskaya V, Gupta S, Park JY, Crowe SE, et al. Review article: the global emergence ofHelicobacter pyloriantibiotic resistance. Alimentary Pharmacology & Therapeutics. 2015 Dec 23;43(4):514–33.
11. Flores HB, Salvana A, Lyn E, Estanislao NI, Marie Ellaine Velasquez, Ong J, et al. M1138 Duration of Proton-Pump Inhibitor-Based Triple Therapy for Helicobacter pylori Eradication: A Meta-Analysis. Gastroenterology. 2010 May 1;138(5):S-340.
12. Malfertheiner P, Megraud F, O’Morain CA, Gisbert JP, Kuipers EJ, Axon AT, et al. Management of Helicobacter pylori infection-the Maastricht V/Florence Consensus Report. Gut. 2017;66(1):6–30.
13. Sequential versus triple therapy for the first-line treatment of Helicobacter pylori: a multicentre, open-label, randomised trial. The Lancet [Internet]. 2013 Jan 19;381(9862):205–13.
14. Gatta L, Vakil N, Vaira D, Scarpignato C. Global eradication rates for Helicobacter pylori infection: systematic review and meta-analysis of sequential therapy. BMJ [Internet]. 2013 Aug 7 [cited 2019 Oct 18];347(aug07 1):f4587–7.
15. Vernon AH. Medical Management of Peptic Ulcer Disease. The SAGES Manual of Foregut Surgery. 2019;653–9.
16. O'Connor JP, Taneike I, O'Morain C. Improving compliance with helicobacter pylori eradication therapy: when and how? Therapeutic Advances in Gastroenterology. 2009 Sep;2(5):273-279
17. Zhang L, Zhao M, Fu X. Gastric microbiota dysbiosis and Helicobacter pylori infection. 2023 Mar 30;14.
18. Usui Y, Taniyama Y, Endo M, Koyanagi YN, Kasugai Y, Oze I, et al. Helicobacter pylori, Homologous-Recombination Genes, and Gastric Cancer. New England Journal of Medicine. 2023 Mar 30;388(13):1181–90.

Most read articles by the same author(s)