Leja M, Dumitrascu D L
Riga Eastern Hospital, University of Latvia, Digestive Diseases Centre GASTRO, Riga, Latvia.
Dig Dis. 2007;25(3):218-21. doi: 10.1159/000103888.
Although the strategy for Helicobacter pylori infection management is well defined and quite well followed in a number of situations, including peptic ulcer disease, the issue of H. pylori screening and eradication in the general population still remains. The following debate attempts to find the answer of whether or not H. pylori screening should be performed in the asymptomatic population for preventing gastric cancer. As yet, there is no final evidence-based consensus about the need to screen for H. pylori in order to decrease the incidence of gastric cancer.
尽管幽门螺杆菌感染管理策略在包括消化性溃疡病在内的多种情况下已得到明确界定且得到了较好遵循,但普通人群中幽门螺杆菌筛查和根除的问题仍然存在。以下辩论试图找出是否应在无症状人群中进行幽门螺杆菌筛查以预防胃癌的答案。迄今为止,关于为降低胃癌发病率而进行幽门螺杆菌筛查的必要性,尚无基于证据的最终共识。