Eradication Therapy for Pediatric Helicobacter pylori Infection

In children, Helicobacter pylori infection causes gastritis, peptic ulcer, and extraintestinal manifestations such as refractory iron deficiency anemia, failure to thrive, and chronic idiopathic thrombocytopenia. The outcomes of recommendations for H. pylori eradication therapy in children are not c...

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Main Authors: Ji-Hyun Seo, Hee-Shang Youn
Format: Article
Language:English
Published: Korean College of Helicobacter and Upper Gastrointestinal Research 2017-03-01
Series:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
Subjects:
Online Access:http://www.helicojournal.org/journal/view.html?doi=10.7704/kjhugr.2017.17.1.16
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author Ji-Hyun Seo
Hee-Shang Youn
author_facet Ji-Hyun Seo
Hee-Shang Youn
author_sort Ji-Hyun Seo
collection DOAJ
description In children, Helicobacter pylori infection causes gastritis, peptic ulcer, and extraintestinal manifestations such as refractory iron deficiency anemia, failure to thrive, and chronic idiopathic thrombocytopenia. The outcomes of recommendations for H. pylori eradication therapy in children are not comparable with the eradication rates of those in adults because of the low level of evidence, including randomized placebo-controlled treatment trials. In South Korea, no standard guideline for the management of children with H. pylori infection has been established yet. Herein, we reviewed the indications for and various modalities of eradication therapy in children with H. pylori infection in accordance with a review of published articles. H. pylori-associated peptic ulcer is the only one indication for eradication therapy. A proton pump inhibitor based on a combination of two antibiotics has been considered as the standard eradication therapy in children, but no consensus has been reached regarding the modality of eradication therapy in children.
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publisher Korean College of Helicobacter and Upper Gastrointestinal Research
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series The Korean Journal of Helicobacter and Upper Gastrointestinal Research
spelling doaj-art-4a6a86369f4e433b8ebbe76ce6f8aa782025-08-20T03:14:45ZengKorean College of Helicobacter and Upper Gastrointestinal ResearchThe Korean Journal of Helicobacter and Upper Gastrointestinal Research1738-33312017-03-01171161910.7704/kjhugr.2017.17.1.16kjhugr.2017.17.1.16Eradication Therapy for Pediatric Helicobacter pylori InfectionJi-Hyun Seo0Hee-Shang Youn1Department of Pediatrics, Gyeongsang National University School of Medicine, Jinju, KoreaDepartment of Pediatrics, Gyeongsang National University School of Medicine, Jinju, KoreaIn children, Helicobacter pylori infection causes gastritis, peptic ulcer, and extraintestinal manifestations such as refractory iron deficiency anemia, failure to thrive, and chronic idiopathic thrombocytopenia. The outcomes of recommendations for H. pylori eradication therapy in children are not comparable with the eradication rates of those in adults because of the low level of evidence, including randomized placebo-controlled treatment trials. In South Korea, no standard guideline for the management of children with H. pylori infection has been established yet. Herein, we reviewed the indications for and various modalities of eradication therapy in children with H. pylori infection in accordance with a review of published articles. H. pylori-associated peptic ulcer is the only one indication for eradication therapy. A proton pump inhibitor based on a combination of two antibiotics has been considered as the standard eradication therapy in children, but no consensus has been reached regarding the modality of eradication therapy in children.http://www.helicojournal.org/journal/view.html?doi=10.7704/kjhugr.2017.17.1.16Helicobacter pyloriChildTherapeutics
spellingShingle Ji-Hyun Seo
Hee-Shang Youn
Eradication Therapy for Pediatric Helicobacter pylori Infection
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
Helicobacter pylori
Child
Therapeutics
title Eradication Therapy for Pediatric Helicobacter pylori Infection
title_full Eradication Therapy for Pediatric Helicobacter pylori Infection
title_fullStr Eradication Therapy for Pediatric Helicobacter pylori Infection
title_full_unstemmed Eradication Therapy for Pediatric Helicobacter pylori Infection
title_short Eradication Therapy for Pediatric Helicobacter pylori Infection
title_sort eradication therapy for pediatric helicobacter pylori infection
topic Helicobacter pylori
Child
Therapeutics
url http://www.helicojournal.org/journal/view.html?doi=10.7704/kjhugr.2017.17.1.16
work_keys_str_mv AT jihyunseo eradicationtherapyforpediatrichelicobacterpyloriinfection
AT heeshangyoun eradicationtherapyforpediatrichelicobacterpyloriinfection