New Guidelines for the Management of Helicobacter pylori Infection.
The European Helicobacter Study Group has issued updated Guidelines, the Maastricht IV
/ Florence Consensus Report. The article has just been published in Gut 2012;61:646-664.
Some important conclusions and summaries can be found in the article.
MANAGEMENT OF H PYLORI INFECTION
The UBT using essentially 13C urea remains the best test to diagnose H pylori infection, has a high accuracy and is easy to perform.
Statement 1: A test-and-treat strategy is appropriate for uninvestigated dyspepsia in populations where the H pylori prevalence is high (>20 %).
PREVENTION OF GASTRIC CANCER AND OTHER COMPLICATIONS
Statement 9: There is strong evidence that H pylori eradication reduces the risk of gastric cancer development.
Statement 13: A screen-and-treat strategy of H pylori should be explored in communities with a significant burden of gastric cancer.
Statement 17: H pylori eradication to prevent gastric cancer should be undertaken in populations at high risk.
“Quality of life can be significantly improved through accurate diagnosis and appropriate treatment”