Cure of peptic gastric ulcer associated with eradication of Helicobacter pylori. Finnish Gastric Ulcer Study Group.

作者: K Seppala , P Pikkarainen , P Sipponen , E Kivilaakso , M H Gormsen

DOI: 10.1136/GUT.36.6.834

关键词: MetronidazoleAnti-ulcer AgentAmoxicillinInternal medicineHelicobacter pyloriStomachSpirillaceaeGastroenterologyAntibacterial agentRanitidineMedicine

摘要: The effect of Helicobacter pylori eradication on ulcer healing and the relapse rate were investigated in a multicentre trial 239 gastric patients. Patients with H positive randomly assigned to one three groups: (A) 10 days' treatment metronidazole eight weeks' colloidal bismuth subcitrate (CBS) (84 patients); (B) placebo weeks CBS (73 or (C) ranitidine (82 patients). At 12 210 patients, was present (9%) 35 negative 45 (26%) 175 patients (p < 0.05). Results after year follow up available for 205 Between 52 weeks, two (7%) relapses occurred 29 60 (47%) 128 0.001). After open triple therapy (CBS 120 mg four times daily, amoxicillin 500 400 daily), given relapse, only (an NSAID user) 55 successfully treated had an during up. Healing is rapid recurrence infrequent successful eradication. changes natural history disease.

参考文章(8)
BarryJ Marshall, J Robin Warren, ElizabethD Blincow, Michael Phillips, C Stewart Goodwin, Raymond Murray, StephenJ Blackbourn, ThomasE Waters, ChristopherR Sanderson, None, Prospective double-blind trial of duodenal ulcer relapse after eradication of Campylobacter pylori. The Lancet. ,vol. 332, pp. 1437- 1442 ,(1988) , 10.1016/S0140-6736(88)90929-4
David Y. Graham, Treatment of Peptic Ulcers Caused by Helicobacter pylori The New England Journal of Medicine. ,vol. 328, pp. 349- 350 ,(1993) , 10.1056/NEJM199302043280512
J.G. Coghlan, H. Humphries, C. Dooley, C. Keane, D. Gilligan, D. Mckenna, E. Sweeney, C. O'Morain, CAMPYLOBACTER PYLORI AND RECURRENCE OF DUODENAL ULCERS— A 12-MONTH FOLLOW-UP STUDY The Lancet. ,vol. 330, pp. 1109- 1111 ,(1987) , 10.1016/S0140-6736(87)91545-5
E.A.J. Rauws, G.N.J. Tytgat, Cure of duodenal ulcer associated with eradication of Helicobacter pylori The Lancet. ,vol. 335, pp. 1233- 1235 ,(1990) , 10.1016/0140-6736(90)91301-P
K. Seppala, M. Farkkila, H. Nuutinen, K. Hakala, H. Väänänen, H. Rautelin, T. U. Kosunen, Triple therapy of Helicobacter pylori infection in peptic ulcer. A 12-month follow-up study of 93 patients. Scandinavian Journal of Gastroenterology. ,vol. 27, pp. 973- 976 ,(1992) , 10.3109/00365529209000173
M Tatsuta, H Ishikawa, H Iishi, S Okuda, Y Yokota, Reduction of gastric ulcer recurrence after suppression of Helicobacter pylori by cefixime. Gut. ,vol. 31, pp. 973- 976 ,(1990) , 10.1136/GUT.31.9.973
Enno Hentschel, Gerald Brandstatter, Brigitte Dragosics, Alexander M. Hirschl, Heinz Nemec, Kurt Schutze, Margareta Taufer, Herbert Wurzer, Effect of Ranitidine and Amoxicillin plus Metronidazole on the Eradication of Helicobacter pylori and the Recurrence of Duodenal Ulcer The New England Journal of Medicine. ,vol. 328, pp. 308- 312 ,(1993) , 10.1056/NEJM199302043280503