Vietnam Association of Gastroenterology (VNAGE) consensus on the management of Helicobacter pylori infection.

Autor:	Quach DT; Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.; Nhan Dan Gia Dinh Hospital, Ho Chi Minh City, Vietnam., Mai BH; 108 Military Central Hospital, Hanoi, Vietnam., Tran MK; Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam., Dao LV; Internal Medicine Faculty, Hanoi Medical University, Hanoi, Vietnam., Tran HV; Hue University of Medicine and Pharmacy, Hue, Vietnam., Vu KT; Tam Anh Hospital, Hanoi, Vietnam., Vu KV; 108 Military Central Hospital, Hanoi, Vietnam., Pham HT; Internal Medicine Faculty, Hanoi Medical University, Hanoi, Vietnam., Bui HH; Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam., Ho DD; Cho Ray Hospital, Ho Chi Minh City, Vietnam., Trinh DT; Tam Anh Hospital, Hanoi, Vietnam., Nguyen VT; Department of Internal Medicine, Hanoi National University, Hanoi, Vietnam., Duong TH; Department of Internal Medicine, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Vietnam., Tran TT; Department of Internal Medicine, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam., Nguyen HT; Internal Medicine Faculty, Hanoi Medical University, Hanoi, Vietnam., Nguyen TT; 108 Military Central Hospital, Hanoi, Vietnam., Nguyen TD; Institute of Gastroenterology and Hepatology, Hanoi, Vietnam., Nguyen LC; Bach Mai Hospital, Hanoi, Vietnam., Dao HV; Internal Medicine Faculty, Hanoi Medical University, Hanoi, Vietnam., Thai KD; 108 Military Central Hospital, Hanoi, Vietnam., Phan NT; Hue University of Medicine and Pharmacy, Hue, Vietnam., Le LT; Cho Ray Hospital, Ho Chi Minh City, Vietnam., Vo CH; Nhan Dan Gia Dinh Hospital, Ho Chi Minh City, Vietnam., Ho PT; Cho Ray Hospital, Ho Chi Minh City, Vietnam., Nguyen TL; 108 Military Central Hospital, Hanoi, Vietnam., Le QD; Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam., Le NV; Department of Internal Medicine, Da Nang University of Medical Technology and Pharmacy, Da Nang, Vietnam., Phan HQ; 108 Military Central Hospital, Hanoi, Vietnam., Nguyen BC; 108 Military Central Hospital, Hanoi, Vietnam., Tran TT; Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam., Tran TV; 103 Military Hospital, Hanoi, Vietnam., Ta L; 108 Military Central Hospital, Hanoi, Vietnam.
Jazyk:	angličtina
Zdroj:	Frontiers in medicine [Front Med (Lausanne)] 2023 Jan 12; Vol. 9, pp. 1065045. Date of Electronic Publication: 2023 Jan 12 (Print Publication: 2022).
DOI:	10.3389/fmed.2022.1065045
Abstrakt:	Helicobacter pylori (H. pylori) infection is prevalent and has a rapidly increasing antibiotic resistance rate in Vietnam. Reinfection is quite common, and gastric carcinoma remains one of the most common malignancies, which is not uncommon to develop after successful eradication. The purpose of this consensus is to provide updated recommendations on the management of H. pylori infection in the country. The consensus panel consisted of 32 experts from 14 major universities and institutions in Vietnam who were invited to review the evidence and develop the statements using the Delphi method. The process followed the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system. The consensus level was defined as ≥80% for agreement on the proposed statements. Due to the limited availability of high-quality local evidence, this consensus was also based on high-quality evidence from international studies, especially those conducted in other populations in the Asia-Pacific region. The panel finally reached a consensus on 27 statements after two voting rounds, which consisted of four sections (1) indications for testing and selection of diagnostic tests (2), treatment regimens, (3) post-treatment confirmation of H. pylori status, and (4) reinfection prevention methods and follow-up after eradication. Important issues that require further evidence include studies on third-line regimens, strategies to prevent H. pylori reinfection, and post-eradication follow-up for precancerous gastric lesions. We hope this consensus will help guide the current clinical practice in Vietnam and promote multicenter studies in the country and international collaborations. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2023 Quach, Mai, Tran, Dao, Tran, Vu, Vu, Pham, Bui, Ho, Trinh, Nguyen, Duong, Tran, Nguyen, Nguyen, Nguyen, Nguyen, Dao, Thai, Phan, Le, Vo, Ho, Nguyen, Le, Le, Phan, Nguyen, Tran, Tran and Ta.)
Databáze:	MEDLINE
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