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专题：幽门螺杆菌精华指南在手，轻松解决胃病问题

2017-06-09 MedSci MedSci原创

幽门螺杆菌精华指南胃病
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幽门螺旋杆菌是一种螺旋形、微需氧、对生长条件要求十分苛刻的革兰氏阴性杆菌。1983年首次从慢性活动性胃炎患者的胃粘膜活检组织中分离成功，是目前所知能够在人胃中生存的唯一微生物种类。幽门螺旋杆菌病包括由幽门螺旋杆菌感染引起的胃炎、消化道溃疡、淋巴增生性胃淋巴瘤等。幽门螺旋杆菌病的不良预后是胃癌。梅斯小编整理了相关幽门螺杆菌指南，供大家参考！ 一、幽门螺杆菌感染处理共识解读及实施意见


幽门螺旋杆菌是一种螺旋形、微需氧、对生长条件要求十分苛刻的革兰氏阴性杆菌。1983年首次从慢性活动性胃炎患者的胃粘膜活检组织中分离成功，是目前所知能够在人胃中生存的唯一微生物种类。幽门螺旋杆菌病包括由幽门螺旋杆菌感染引起的胃炎、消化道溃疡、淋巴增生性胃淋巴瘤等。幽门螺旋杆菌病的不良预后是胃癌。梅斯小编整理了相关幽门螺杆菌指南，供大家参考！
一、幽门螺杆菌感染处理共识解读及实施意见
2014年1月31至2月1日在日本京都召开了关于幽门螺杆菌(Hp)胃炎的京都全球共识会议，京都共识意见引起国内外学者的高度重视”。根除HP可最大获益京都全球共识给HP治疗带来机遇和挑战，一方面需要重新重视根除HP的意义，增加治疗获益人群，预防胃癌发生；另一方面我国存在人口众多，感染率高，抗菌药物耐药率高，全面根除会增加社会经济负担；而且我国医生人数多，知识更新慢，对感染是否治疗，治疗方案及根除治疗后随访意见不一本文根据我国第四次全国幽门螺杆菌感染处理共识意见及京都全球共识报告，结合近几年来我省在HP感染处理方面遇到的问题及相关研究提出实施意见，为规范我省HP的检测和规范化治疗随访方案提供参考。安徽医科大学消化病学系 张磊 许建明
  • 解读及实施意见" target="_blank">幽门螺杆菌感染处理共识解读及实施意见
二、2016 多伦多共识：成人幽门螺旋杆菌感染的治疗 
2016年4月，加拿大胃肠病学协会(CAG)联合加拿大幽门螺杆菌研究组的相关专家共同发布了成人幽门螺旋杆菌感染治疗的多伦多共识，旨在为成人幽门螺杆菌根除疗法提供更新建议。共识针对成人幽门螺杆菌感染的一线治疗，补充治疗等共提出了15条建议。 三、2016 马斯特里赫特V/佛罗伦萨共识报告：幽门螺旋杆菌感染的管理 
2016年10月，欧洲螺旋杆菌研究组(EHSG)发布了最新幽门螺旋杆菌感染的管理共识——马斯特里赫特V/佛罗伦萨共识。来自24个国家的43位专家审查了关于幽门螺杆菌的最新数据，分成5个细分的部分：1.适应症；2.诊断；3.治疗；4.预防/公众健康；5.幽门螺杆菌与胃肠道菌群。基于最佳证据以及各种临床情境下幽门螺杆菌感染管理提出推荐建议。 四、《幽门螺杆菌感染的处理：Maastricht Ⅴ／Florence共识报告》解读 
2015 年10 月8—9 日，“幽门螺杆菌感染的处理: Maastricht V 共识会议”在意大利佛罗伦萨举行。会议达成了下列幽门螺杆菌感染处理方面的新共识: ①指征/相关性; ②诊断; ③治疗; ④预防/公共卫生; ⑤幽门螺杆菌和胃微生物群。本文对这些内容进行详细解读。上海交通大学医学院附属仁济医院消化内科 刘文忠 五、2017 ESPGHAN/NASPGHAN指南：儿童和青少年幽门螺杆菌感染的管理 
2017年，欧洲儿科胃肠病学、肝病学和营养协会(ESPGHAN)联合北美小儿胃肠病、肝脏病和营养学会(NASPGHAN)共同发布了儿童和青少年幽门螺杆菌感染的管理指南，共识专家组建议针对儿童和青少年幽门螺杆菌感染的检测和治疗共提出16条推荐意见。 六、2017 ACG临床指南：幽门螺杆菌感染的治疗 
2017年1月，美国胃肠病学院(ACG)发布了幽门螺杆菌感染的治疗指南。幽门螺杆菌感染是全球范围内常见的感染，是导致消化性溃疡和胃癌的重要原因。本文主要针对幽门螺杆菌感染的流行病学、高危人群，监测、治疗等问题提出循证指导意见。

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    2017-11-10 108807375_62823137

    #专题#

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    2017-12-30 kcb069

    #螺杆菌#

    0

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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Jun 11 11:51:01 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=209312, encodeId=2d2b20931268, content=学习了，受益匪浅。, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Sun Jun 11 08:47:56 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1532482, encodeId=383f153248260, content=<a href='/topic/show?id=144d832140d' target=_blank style='color:#2F92EE;'>#胃病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Fri Jun 09 15:46:42 CST 2017, time=2017-06-09, status=1, ipAttribution=)]
    2017-06-20 大爰

    学习并分享！！！

    0

  4. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Jun 11 11:51:01 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=209312, encodeId=2d2b20931268, content=学习了，受益匪浅。, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Sun Jun 11 08:47:56 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1532482, encodeId=383f153248260, content=<a href='/topic/show?id=144d832140d' target=_blank style='color:#2F92EE;'>#胃病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Fri Jun 09 15:46:42 CST 2017, time=2017-06-09, status=1, ipAttribution=)]
    2017-06-13 大爰

    学习了谢谢分享！！

    0

  5. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Jun 11 11:51:01 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=209312, encodeId=2d2b20931268, content=学习了，受益匪浅。, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Sun Jun 11 08:47:56 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1532482, encodeId=383f153248260, content=<a href='/topic/show?id=144d832140d' target=_blank style='color:#2F92EE;'>#胃病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Fri Jun 09 15:46:42 CST 2017, time=2017-06-09, status=1, ipAttribution=)]
    2017-06-12 1e10c84am36(暂无匿称)

    文章很好，拜读了

    0

  6. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Jun 11 11:51:01 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=209312, encodeId=2d2b20931268, content=学习了，受益匪浅。, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Sun Jun 11 08:47:56 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1532482, encodeId=383f153248260, content=<a href='/topic/show?id=144d832140d' target=_blank style='color:#2F92EE;'>#胃病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Fri Jun 09 15:46:42 CST 2017, time=2017-06-09, status=1, ipAttribution=)]
    2017-06-11 往日如昨

    继续学习中谢谢

    0

  7. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Jun 11 11:51:01 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=209312, encodeId=2d2b20931268, content=学习了，受益匪浅。, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Sun Jun 11 08:47:56 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1532482, encodeId=383f153248260, content=<a href='/topic/show?id=144d832140d' target=_blank style='color:#2F92EE;'>#胃病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Fri Jun 09 15:46:42 CST 2017, time=2017-06-09, status=1, ipAttribution=)]
    2017-06-11 虈亣靌

    学习了，受益匪浅。

    0

  8. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Fri Jun 09 15:46:42 CST 2017, time=2017-06-09, status=1, ipAttribution=)]
    2017-06-11 xiaoshitou

    #胃病#

    0

  9. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Jun 11 11:51:01 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=209312, encodeId=2d2b20931268, content=学习了，受益匪浅。, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Sun Jun 11 08:47:56 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1532482, encodeId=383f153248260, content=<a href='/topic/show?id=144d832140d' target=_blank style='color:#2F92EE;'>#胃病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Fri Jun 09 15:46:42 CST 2017, time=2017-06-09, status=1, ipAttribution=)]
    2017-06-09 明天会更好！

    学习过了，很好值得分享！

    0

  10. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Jun 11 11:51:01 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=209312, encodeId=2d2b20931268, content=学习了，受益匪浅。, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Sun Jun 11 08:47:56 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1532482, encodeId=383f153248260, content=<a href='/topic/show?id=144d832140d' target=_blank style='color:#2F92EE;'>#胃病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83214, encryptionId=144d832140d, topicName=胃病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=975212339878, createdName=xiaoshitou, createdTime=Sun Jun 11 04:28:00 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=208632, encodeId=73242086325f, content=学习过了，很好值得分享！, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160914/IMG57D82E721DB581755.jpg, createdBy=4fc81933929, createdName=明天会更好！, createdTime=Fri Jun 09 16:01:13 CST 2017, time=2017-06-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=208619, encodeId=60b7208619ce, content=学习了，受益匪浅。, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Fri Jun 09 15:46:42 CST 2017, time=2017-06-09, status=1, ipAttribution=)]
    2017-06-09 131****1460

    学习了，受益匪浅。

    0

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