Helicobacter pylori Infection in Children: A Consensus Statement

作者：Brendan Drumm, Sibylle Koletzko, Giuseppina Oderda · 发表于：Journal of Pediatric Gastroenterology and Nutrition · 年份：2000 · DOI：10.1097/00005176-200002000-00020 · 被引用次数：313 · 研究领域：Helicobacter pylori-related gastroenterology studies、Gastroesophageal reflux and treatments、Eosinophilic Esophagitis

On September 1–2, 1998, a group of pediatric gastroenterologists, mainly from Europe, and other specialists working in the field met in Budapest to discuss the management of Helicobacter pylori infection in children. It was recognized that there is still very little information available about the clinical relevance of H. pylori infection in most children. However, there is a need for some guidelines. The guidelines that have been published by several groups in relation to adults (1,2) are not applicable to children. Furthermore, the increasing availability of diagnostic tests for H. pylori infection, for use in primary care practice, is likely to result in the identification of an increasing number of children with this infection. This conference was not intended to provide a comprehensive overview of all matters relating to H. pylori infection in children. At this meeting the discussion was focused on the indications for investigating children for H. pylori, and the role of noninvasive tests in clinical practice. Consensus was sought initially on a number of fundamental issues. Subsequently, various statements were proposed, and the arguments in favor of and against these statements were presented by different speakers. This was followed by a general discussion and vote in relation to the statement. RAPID CONSENSUS Consensus was readily achieved on these fundamental points: •H. pylori infection causes chronic gastritis in children. •H. pylori infection is associated with ga...