Kim Seung Han
Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
Korean J Helicobacter Up Gastrointest Res. 2025 Mar;25(1):13-16. doi: 10.7704/kjhugr.2024.0075. Epub 2025 Mar 7.
Although the incidence and complications of peptic ulcer disease have declined, Helicobacter pylori infection and nonsteroidal anti-inflammatory drug use remain key risk factors. Advances in proton pump inhibitors and potassium-competitive acid blockers have improved treatment outcomes. However, increasing antibiotic resistance has reduced the efficacy of the standard therapies for H. pylori eradication, necessitating the development of new approaches such as novel antibiotic combinations and bismuth-based regimens. Future studies should emphasize tailored strategies to address resistance and the development of innovative anti-ulcer therapies to enhance eradication and prevention efforts.
尽管消化性溃疡疾病的发病率和并发症有所下降,但幽门螺杆菌感染和使用非甾体抗炎药仍然是关键的危险因素。质子泵抑制剂和钾竞争性酸阻滞剂的进展改善了治疗效果。然而,抗生素耐药性的增加降低了根除幽门螺杆菌标准疗法的疗效,因此需要开发新的方法,如新型抗生素组合和铋剂方案。未来的研究应强调针对耐药性的定制策略以及开发创新的抗溃疡疗法,以加强根除和预防工作。