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World J Gastroenterol. May 14, 2014; 20(18): 5302-5307
Published online May 14, 2014. doi: 10.3748/wjg.v20.i18.5302
Published online May 14, 2014. doi: 10.3748/wjg.v20.i18.5302
Helicobacter pylori: Management in 2013
Yesim Ozen Alahdab, Department of Gastroenterology and Hepatology, Fatih Sultan Mehmet Education and Research Hospital, 34752 Istanbul, Turkey
Cem Kalayci, Department of Gastroenterology and Hepatology, Feneryolu Mh Kadikoy, 34724 Istanbul, Turkey
Author contributions: Alahdab YO and Kalayci C contributed to this paper equally.
Correspondence to: Yesim Ozen Alahdab, MD, Department of Gastroenterology and Hepatology, Fatih Sultan Mehmet Education and Research Hospital, E5 Karayolu Uzeri Icerenkoy-Atasehir, 34752 Istanbul, Turkey. yesimalahdab@yahoo.com
Telephone: +90-532-7230290 Fax: +90-216-5750406
Received: September 30, 2013
Revised: November 25, 2013
Accepted: January 6, 2014
Published online: May 14, 2014
Processing time: 227 Days and 6.4 Hours
Revised: November 25, 2013
Accepted: January 6, 2014
Published online: May 14, 2014
Processing time: 227 Days and 6.4 Hours
Core Tip
Core tip:Helicobacter pylori (H. pylori) is a prevalent, worldwide, chronic infection. The ideal therapy regimen for H. pylori infection should achieve an eradication rate ≥ 80%. Triple therapy remains an appropriate first-line therapy in areas of low clarithromycin resistance, and quadruple therapy should be the first-line therapy in areas of high clarithromycin resistance. Sequential therapy can be an alternative. Levofloxacin-containing regimens or concomitant therapies can be good choices for second-line therapy. Choice of treatment regimen for H. pylori infection should be done cautiously and antibiotic-resistance rates should be taken into consideration.