Chen Qi, Lu Hong
Key Laboratory of Gastroenterology & Hepatology, Ministry of Health, Division of Gastroenterology and Hepatology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai Institute of Digestive Disease, Shanghai, China.
J Dig Dis. 2016 Jun;17(6):353-6. doi: 10.1111/1751-2980.12358.
The Kyoto global consensus report on Helicobacter pylori (H. pylori) gastritis has had a great effect on the field of H. pylori studies worldwide. For the first time H. pylori gastritis was defined entirely as an infectious disease and H. pylori-associated dyspepsia as a new category of organic dyspepsia apart from functional dyspepsia, together with a proposed diagnostic algorithm. Accordingly, the report states that the eradication of H. pylori should be regarded as the first-line treatment for dyspepsia. Moreover, H. pylori eradication before the development of pre-neoplastic changes is recommended to reduce the risk of more serious complications of H. pylori gastritis. Despite the recommendations of this new global consensus, the task of transforming them into feasible and practical recommendations for individual countries will require them to become region-specific, which requires further discussion.
《京都幽门螺杆菌胃炎全球共识报告》对全球幽门螺杆菌研究领域产生了重大影响。幽门螺杆菌胃炎首次被完全定义为一种传染病,幽门螺杆菌相关性消化不良被定义为一种有别于功能性消化不良的新型器质性消化不良,并提出了诊断算法。因此,该报告指出,根除幽门螺杆菌应被视为消化不良的一线治疗方法。此外,建议在肿瘤前病变发生之前根除幽门螺杆菌,以降低幽门螺杆菌胃炎更严重并发症的风险。尽管有这份新的全球共识的建议,但要将其转化为针对各个国家可行且实用的建议,还需要使其针对特定区域,这需要进一步讨论。