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[成人幽门螺杆菌感染的管理——波兰工作组声明及2000年马斯特里赫特共识2]

[The management of Helicobacter pylori infection in adults--statement of the Polish Working Group and the Maastricht Consensus 2-2000].

作者信息

Kwater Aleksander J, Bednarz Stefan, Grodzicki Tomasz K

机构信息

Katedry Chorób Wewnetrznych i Gerontologii Collegium Medicum Uniwersytetu Jagiellońskiego.

出版信息

Wiad Lek. 2003;56(5-6):266-77.

Abstract

Current standards in the management of Helicobacter pylori infection according to the guidelines by European (Maastricht 2-2000 Consensus Report) and Polish Study Group (IX Congress of Polish Gastroenterology Association) were presented in this paper. The comparison analysis was performed as well as the diagnostic methods were described. The indications for Helicobacter pylori infection treatment especially in gastric and duodenal ulcer disease (also complicated by bleeding), gastric precancerous conditions, functional dyspepsia, gastroesophageal reflux disease, non-steroidal anti-inflammatory therapy were discussed. The acceptable schedules of the first and second-line therapy as well as the problem of drug resistance were presented. The special attention was drown to differences between the two sets of guidelines with respect to latest scientific reports.

摘要

本文介绍了根据欧洲(《马斯特里赫特2-2000共识报告》)和波兰研究小组(波兰胃肠病学协会第九次大会)指南制定的幽门螺杆菌感染管理现行标准。进行了对比分析并描述了诊断方法。讨论了幽门螺杆菌感染治疗的适应症,特别是在胃溃疡和十二指肠溃疡疾病(也包括出血并发症)、胃癌前病变、功能性消化不良、胃食管反流病、非甾体抗炎治疗方面。介绍了一线和二线治疗的可接受方案以及耐药性问题。特别关注了这两套指南在最新科学报告方面的差异。

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