机构:
Tel Aviv Univ, Rabin Med Ctr, Dept Gastroenterol, IL-49100 Petah Tiqwa, Israel
Tel Aviv Univ, Sackler Fac Med, IL-49100 Petah Tiqwa, IsraelTel Aviv Univ, Rabin Med Ctr, Dept Gastroenterol, IL-49100 Petah Tiqwa, Israel
Niv, Yaron
[1
,2
]
机构:
[1] Tel Aviv Univ, Rabin Med Ctr, Dept Gastroenterol, IL-49100 Petah Tiqwa, Israel
[2] Tel Aviv Univ, Sackler Fac Med, IL-49100 Petah Tiqwa, Israel
Recurrence of H pylori after eradication is rare in developed countries and more frequent in developing countries. Recrudescence (recolonization of the same strain within 12 mo after eradication) rather than reinfection (colonization with a new strain, more than 12 mo after eradication) is considered to be responsible for most of the cases. This observation was confirmed only in developed countries, while in developing countries a recent meta-analysis demonstrated a high rate of reinfection. The proportion of H pylori annual recurrence was 2.67% and 13.00% in developed and developing countries, respectively. Nested meta-analysis (only cases with a longer follow-up and a negative (CUBT)-C-13 a year after eradication) revealed annual recurrence rate of 1.45% [relative risk (RR), 0.54] and 12.00% (RR, 0.92) in developed and developing countries, respectively. These findings support the notion that in developed countries many cases of recurrence are due to recrudescence within the first year after eradication, with a 46% drop in the recurrence rate after the first year post eradication, while in developing countries reinfection is more pronounced, and continue at the same rate since eradication. A different approach for follow-up after H pylori eradication is probably needed in patients of developing countries, since reinfection is highly prevalent. (C) 2008 WJG. All rights reserved.
机构:
Univ Tehran Med Sci, Dept Pediat, Tehran, IranChildrens Med Ctr, Pediat Ctr Excellence, Div Gastroenterol, Tehran, Iran
Najafi, Mehri
Sobhani, Mohammad
论文数: 0引用数: 0
h-index: 0
机构:Childrens Med Ctr, Pediat Ctr Excellence, Div Gastroenterol, Tehran, Iran
Sobhani, Mohammad
Khodadad, Ahmad
论文数: 0引用数: 0
h-index: 0
机构:
Childrens Med Ctr, Pediat Ctr Excellence, Div Gastroenterol, Tehran, Iran
Univ Tehran Med Sci, Dept Pediat, Tehran, IranChildrens Med Ctr, Pediat Ctr Excellence, Div Gastroenterol, Tehran, Iran
Khodadad, Ahmad
Farahmand, Fatemeh
论文数: 0引用数: 0
h-index: 0
机构:
Univ Tehran Med Sci, Dept Pediat, Tehran, IranChildrens Med Ctr, Pediat Ctr Excellence, Div Gastroenterol, Tehran, Iran
机构:
Department of Internal Medicine, Kawasaki Medical School, Kurashiki 701-0192, JapanDepartment of Internal Medicine, Kawasaki Medical School, Kurashiki 701-0192, Japan
Akiko Shiotani
Ken Haruma
论文数: 0引用数: 0
h-index: 0
机构:
Department of Internal Medicine, Kawasaki Medical School, Kurashiki 701-0192, JapanDepartment of Internal Medicine, Kawasaki Medical School, Kurashiki 701-0192, Japan
Ken Haruma
David Y Graham
论文数: 0引用数: 0
h-index: 0
机构:
Department of Medicine, Michael E DeBakey VAMC and Baylor College of Medicine, Houston, TX 77030, United StatesDepartment of Internal Medicine, Kawasaki Medical School, Kurashiki 701-0192, Japan
机构:
UNIV AMSTERDAM,ACAD MED CTR,DEPT GASTROENTEROL,MED MICROBIOL & HISTOPATHOL,NL-1105 AZ AMSTERDAM,NETHERLANDSUNIV AMSTERDAM,ACAD MED CTR,DEPT GASTROENTEROL,MED MICROBIOL & HISTOPATHOL,NL-1105 AZ AMSTERDAM,NETHERLANDS
vanderHulst, RWM
Rauws, EAJ
论文数: 0引用数: 0
h-index: 0
机构:
UNIV AMSTERDAM,ACAD MED CTR,DEPT GASTROENTEROL,MED MICROBIOL & HISTOPATHOL,NL-1105 AZ AMSTERDAM,NETHERLANDSUNIV AMSTERDAM,ACAD MED CTR,DEPT GASTROENTEROL,MED MICROBIOL & HISTOPATHOL,NL-1105 AZ AMSTERDAM,NETHERLANDS
Rauws, EAJ
Koycu, B
论文数: 0引用数: 0
h-index: 0
机构:
UNIV AMSTERDAM,ACAD MED CTR,DEPT GASTROENTEROL,MED MICROBIOL & HISTOPATHOL,NL-1105 AZ AMSTERDAM,NETHERLANDSUNIV AMSTERDAM,ACAD MED CTR,DEPT GASTROENTEROL,MED MICROBIOL & HISTOPATHOL,NL-1105 AZ AMSTERDAM,NETHERLANDS
Koycu, B
Keller, JJ
论文数: 0引用数: 0
h-index: 0
机构:
UNIV AMSTERDAM,ACAD MED CTR,DEPT GASTROENTEROL,MED MICROBIOL & HISTOPATHOL,NL-1105 AZ AMSTERDAM,NETHERLANDSUNIV AMSTERDAM,ACAD MED CTR,DEPT GASTROENTEROL,MED MICROBIOL & HISTOPATHOL,NL-1105 AZ AMSTERDAM,NETHERLANDS
Keller, JJ
tenKate, FJW
论文数: 0引用数: 0
h-index: 0
机构:
UNIV AMSTERDAM,ACAD MED CTR,DEPT GASTROENTEROL,MED MICROBIOL & HISTOPATHOL,NL-1105 AZ AMSTERDAM,NETHERLANDSUNIV AMSTERDAM,ACAD MED CTR,DEPT GASTROENTEROL,MED MICROBIOL & HISTOPATHOL,NL-1105 AZ AMSTERDAM,NETHERLANDS
tenKate, FJW
Danker, J
论文数: 0引用数: 0
h-index: 0
机构:
UNIV AMSTERDAM,ACAD MED CTR,DEPT GASTROENTEROL,MED MICROBIOL & HISTOPATHOL,NL-1105 AZ AMSTERDAM,NETHERLANDSUNIV AMSTERDAM,ACAD MED CTR,DEPT GASTROENTEROL,MED MICROBIOL & HISTOPATHOL,NL-1105 AZ AMSTERDAM,NETHERLANDS
Danker, J
Tytgat, GNJ
论文数: 0引用数: 0
h-index: 0
机构:
UNIV AMSTERDAM,ACAD MED CTR,DEPT GASTROENTEROL,MED MICROBIOL & HISTOPATHOL,NL-1105 AZ AMSTERDAM,NETHERLANDSUNIV AMSTERDAM,ACAD MED CTR,DEPT GASTROENTEROL,MED MICROBIOL & HISTOPATHOL,NL-1105 AZ AMSTERDAM,NETHERLANDS
Tytgat, GNJ
vanderEnde, A
论文数: 0引用数: 0
h-index: 0
机构:
UNIV AMSTERDAM,ACAD MED CTR,DEPT GASTROENTEROL,MED MICROBIOL & HISTOPATHOL,NL-1105 AZ AMSTERDAM,NETHERLANDSUNIV AMSTERDAM,ACAD MED CTR,DEPT GASTROENTEROL,MED MICROBIOL & HISTOPATHOL,NL-1105 AZ AMSTERDAM,NETHERLANDS