Review article: Helicobacter pylori and nonulcer dyspepsia.

Abstract:

:Although up to 50% of patients diagnosed with nonulcer dyspepsia (NUD) have Helicobacter pylori infection and underlying chronic gastritis, it remains controversial whether any causal relationship exists. The results of worldwide epidemiological studies have been unconvincing. No clear-cut link has been documented between H. pylori and any specific symptom profile or pathophysiological mechanism in NUD. In the randomized controlled trials, methodological weaknesses may explain in part the conflicting results, but even in the well-conducted trials controversy persists. Although meta-analyses have attempted to resolve the issue, inherent methodological difficulties with meta-analysis remain a problem. Moreover, even the methodologically sound meta-analyses have reported conflicting results. In addition, predictors of treatment response remain obscure, and there continue to be theoretical concerns about the treatment of H. pylori infection in all patients with NUD. Hence, the management of these patients is challenging, but eradication of H. pylori infection may be beneficial in a small subgroup of cases with NUD that cannot be identified before treatment.

journal_name

Aliment Pharmacol Ther

authors

Talley NJ,Quan C

doi

10.1046/j.1365-2036.2002.0160s1058.x

subject

Has Abstract

pub_date

2002-03-01 00:00:00

pages

58-65

eissn

0269-2813

issn

1365-2036

pii

127

journal_volume

16 Suppl 1

pub_type

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