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Cited by 289

The DOI matches its Crossref record; 45 of the 45 references it cites were found in a registry or an index.

Treatment of Helicobacter pylori Infection: A Review of the World Literature

van Der Hulst, René W.M., Keller, Josbert J., Rauws, Erik A.J., Tytgat, Guido N.J.·1996·Helicobacter

Abstract

Background.None of the currently used anti‐Helicobacter pylori drug regimens cures the infection 100%, and cure results still vary considerably. The present article reviews the effectiveness of currently used antimicrobial regimens, aimed to cure H. pylori infection. Methods.Data collection started from the beginning of the anti‐H. pylori‐therapy era until May 1995. No attempt at formal metanalysis has been made, because many studies have been published only in abstract form. Attempts were made to exclude duplicates of studies by comparison to previously reported ones; the authors of suspected duplicates were contacted. After amalgamation of the number of included patients and the number of successfully treated patients, the mean values of eradication rates and the 95% confidence intervals were calculated. Results.A total of 237 treatment arms were analyzed. Bismuth triple therapy continues to reach high eradication rates worldwide (78–89%). Side effects leading to diminished patient compliance and the marked decline of eradication efficacy in cases of metronidazole resistance are considered to be the major drawbacks of this therapy. Proton pump inhibitor (PPI) dual therapy is better tolerated with fewer side effects than is bismuth triple therapy. The mean eradication rates vary from 55 to 75%, and the extremes lie between 24 and 93%. PPI triple therapies have been shown to be very effective against H. pylori (eradication rates, 80–89%). Quadruple therapy leads to a mean eradication rate of 96%. Conclusion.Based on efficacy, PPI triple or bismuth triple therapy are recommended as first‐line treatment for H. pylori infection. Quadruple therapy could serve as second‐line treatment for eradication of initial failures and in case of metronidazole resistance.

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Crossref · 10.1111/j.1523-5378.1996.tb00003.x

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Metadata

Authors
van Der Hulst, R. W. M., Keller, J. J., Rauws, E. A. J., & Tytgat, G. N. J.
Venue
Helicobacter
Publisher
Wiley
Published
1996-03
Volume
1
Issue
1
Pages
6-19
ISSN
  • 1083-4389 (ISSN-L)
  • 1523-5378
OpenAlex
W2057863812
Cited by
289
References
45
FWCI
42.92
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Treatment of Helicobacter pylori Infection: A Review of the World Literature. https://app.cochat.ai/papers/10.1111/j.1523-5378.1996.tb00003.x
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van Der Hulst, R. W. M., Keller, J. J., Rauws, E. A. J., & Tytgat, G. N. J. (1996). Treatment of Helicobacter pylori Infection: A Review of the World Literature. Helicobacter. https://doi.org/10.1111/j.1523-5378.1996.tb00003.x

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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