PMID- 17009520 OWN - NLM STAT- MEDLINE DCOM- 20061204 LR - 20201209 IS - 1661-8157 (Print) IS - 1661-8157 (Linking) VI - 95 IP - 37 DP - 2006 Sep 13 TI - [Helicobacter pylori 2006: how to test, when to treat]. PG - 1413-8 AB - The role of Helicobacter pylori in peptic-disease, gastric adeno-carcinoma and the MALT- lymphoma is established. The H. pylori diagnostics and the eradication therapy are highly disputed in patients with dyspepsia. An endoscopy is recommended to patients older than 45 who have dyspeptic disorders. Non-invasive testing and treatment is an adequate option to those patients younger than 45, if no alarm symptoms exist. The H.pylori serology, the 13C- breath test and the stool-antigen test have proven to be the best in laboratory testing. The therapeutic regimen of H. pylori eradication consists of a proton pump inhibitor (PPI) and two antibiotics, though it isn't always successful. After a second treatment failure, a H. pylori culture is indicated to asses the antibiotic resistances. FAU - van der Weg, B AU - van der Weg B AD - Fachbereich Gastroenterologie/Hepatologie, Kantonsspital St. Gallen. FAU - Meyenberger, Ch AU - Meyenberger Ch FAU - Borovicka, J AU - Borovicka J LA - ger PT - Journal Article TT - Helicobacter pylori 2006: Wie testen, wann behandeln. PL - Switzerland TA - Praxis (Bern 1994) JT - Praxis JID - 101468093 RN - 0 (Anti-Bacterial Agents) RN - 0 (Anti-Ulcer Agents) RN - 0 (Proton Pump Inhibitors) SB - IM MH - Adenocarcinoma/*diagnosis/drug therapy/pathology MH - Anti-Bacterial Agents/therapeutic use MH - Anti-Ulcer Agents/therapeutic use MH - Diagnosis, Differential MH - Drug Therapy, Combination MH - Gastric Mucosa/microbiology/pathology MH - Gastritis/*diagnosis/drug therapy/pathology MH - Helicobacter Infections/*diagnosis/drug therapy/pathology MH - *Helicobacter pylori/pathogenicity MH - Humans MH - Lymphoma, B-Cell, Marginal Zone/*diagnosis/drug therapy/pathology MH - Peptic Ulcer/*diagnosis/drug therapy/pathology MH - Proton Pump Inhibitors MH - Stomach Neoplasms/*diagnosis/drug therapy/pathology MH - Virulence EDAT- 2006/10/03 09:00 MHDA- 2006/12/09 09:00 CRDT- 2006/10/03 09:00 PHST- 2006/10/03 09:00 [pubmed] PHST- 2006/12/09 09:00 [medline] PHST- 2006/10/03 09:00 [entrez] AID - 10.1024/1661-8157.95.37.1413 [doi] PST - ppublish SO - Praxis (Bern 1994). 2006 Sep 13;95(37):1413-8. doi: 10.1024/1661-8157.95.37.1413.