PMID- 32918350 OWN - NLM STAT- MEDLINE DCOM- 20210701 LR - 20210701 IS - 1523-5378 (Electronic) IS - 1083-4389 (Linking) VI - 25 Suppl 1 DP - 2020 Sep TI - Review - Treatment of Helicobacter pylori infection 2020. PG - e12743 LID - 10.1111/hel.12743 [doi] AB - This review summarizes important studies regarding Helicobacter pylori therapy published from April 2019 to April 2020. The main themes that emerge involve studies assessing antibiotic resistance, and there is also growing momentum behind the utility of vonoprazan as an alternative to proton pump inhibitor (PPI) therapy and also bismuth-based regimens as a first-line regimen. Antibiotic resistance is rising wherever it is being assessed, and clarithromycin resistance in particular has reached a point where it may no longer be a viable therapy without previous testing in many regions of the world. The evidence for the efficacy of a bismuth-based quadruple therapy as a first-line therapy is now very clearly established, and there is substantial evidence that it is the best performing first-line therapy. The utility of vonoprazan as an alternative to PPI therapy, especially in resistant and difficult-to-treat groups, has also been considered in great detail this year, and it may offer an opportunity in the near future to reduce the problem of antibiotic resistance. CI - (c) 2020 John Wiley & Sons Ltd. FAU - O'Connor, Anthony AU - O'Connor A AD - Department of Gastroenterology, Tallaght University Hospital/Trinity College, Dublin, Ireland. FAU - Furuta, Takahisa AU - Furuta T AD - The Center for Clinical Research, Hamamatsu University School of Medicine, Hamamatsu, Japan. FAU - Gisbert, Javier P AU - Gisbert JP AD - Gastroenterology Unit, Hospital Universitario de La Princesa, Instituto de Investigacion Sanitaria Princesa (IIS-IP), Universidad Autonoma de Madrid (UAM), Centro de Investigacion Biomedica en Red de Enfermedades Hepaticas y Digestivas (CIBEREHD), Madrid, Spain. FAU - O'Morain, Colm AU - O'Morain C AD - Department of Gastroenterology, Tallaght University Hospital/Trinity College, Dublin, Ireland. LA - eng PT - Journal Article PT - Review PL - England TA - Helicobacter JT - Helicobacter JID - 9605411 RN - 0 (Anti-Bacterial Agents) RN - 0 (Proton Pump Inhibitors) RN - U015TT5I8H (Bismuth) SB - IM MH - *Anti-Bacterial Agents/pharmacology/therapeutic use MH - *Bismuth/pharmacology/therapeutic use MH - *Drug Resistance, Bacterial MH - Drug Therapy, Combination MH - Helicobacter Infections/*drug therapy MH - Helicobacter pylori/drug effects MH - Humans MH - *Proton Pump Inhibitors/pharmacology/therapeutic use OTO - NOTNLM OT - antibiotic resistance OT - bismuth OT - dual therapy OT - hybrid therapy OT - sequential therapy OT - triple therapy OT - vonoprazan EDAT- 2020/09/13 06:00 MHDA- 2021/07/02 06:00 CRDT- 2020/09/12 05:35 PHST- 2020/09/12 05:35 [entrez] PHST- 2020/09/13 06:00 [pubmed] PHST- 2021/07/02 06:00 [medline] AID - 10.1111/hel.12743 [doi] PST - ppublish SO - Helicobacter. 2020 Sep;25 Suppl 1:e12743. doi: 10.1111/hel.12743.