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Updated the Maastricht VI/Florence Consensus recommendations for the treatment of Helicobacter pylori infection: A review

Authors :
Sergei I. Pimanov
Elena V. Makarenko
Source :
Consilium Medicum, Vol 24, Iss 12, Pp 851-859 (2023)
Publication Year :
2023
Publisher :
ZAO "Consilium Medicum", 2023.

Abstract

The new Maastricht VI/Florence Consensus clarifies a number of provisions that were previously under discussion. It has been postulated that Helicobacter pylori infection always causes gastritis, regardless of symptoms or complications. Before making a convincing diagnosis of functional dyspepsia, it is necessary to exclude Helicobacters gastritis. Some provisions of the consensus, such as the test and treat tactic, require elements of a critical attitude, taking into account Russian regional conditions. About 90% of stomach cancers are due to H. pylori. Eradication of H. pylori makes it possible to prevent gastric cancer at any age in adulthood, but the effectiveness of such cancer prevention decreases with age. Bismuth quadruple therapy is preferred in the eradication therapy algorithm. Decreased value of triple treatment with clarithromycin. There is a rapid increase in H. pylori resistance to fluoroquinolones. Triple therapy with rifabutin is called the final eradication protocol.

Details

Language :
Russian
ISSN :
20751753 and 25422170
Volume :
24
Issue :
12
Database :
Directory of Open Access Journals
Journal :
Consilium Medicum
Publication Type :
Academic Journal
Accession number :
edsdoj.8a9bdbcf8c4f463d84c7563b29da61b4
Document Type :
article
Full Text :
https://doi.org/10.26442/20751753.2022.12.202045