PMID- 9631306 OWN - NLM STAT- MEDLINE DCOM- 19980820 LR - 20191102 IS - 1083-4389 (Print) IS - 1083-4389 (Linking) VI - 3 IP - 2 DP - 1998 Jun TI - Helicobacter pylori and peptic ulcer disease therapies: a survey of gastroenterologists in Israel. PG - 93-6 AB - BACKGROUND: Eradication of Helicobacter pylori has become a therapeutic option in the treatment of patients with peptic ulcer disease. The aim of this study was to evaluate the current management strategies of Israeli gastroenterologists in the diagnosis and treatment of H. pylori-related peptic ulcer disease, 14 years after the discovery of H. pylori. MATERIALS AND METHODS: A questionnaire was mailed to all specialists in gastroenterology, members of the Israel Gastroenterological Association (IGA). Replies were received from 60% of Israel Board-certified gastroenterology specialists. RESULTS: Over 89% of the gastroenterologists (89.1%) noted that they recommend anti-H. pylori treatment. 94.5% said that they treat duodenal ulcer in the first presentation with anti-H. pylori medication and 75% said that they do so in cases of recurrent duodenal ulcer. According to the replies received, there is a strong consensus towards triple treatment as the favored anti-H. pylori treatment; no one noted the use of dual treatment. Seven-day triple treatment was prescribed by 83.6% of the gastroenterologists who responded. Of these, the great majority, 89.1%, stated that they use proton pump inhibitors (PPI) in combination with any two of the following antibiotics: metronidazole (47.3%), tinidazole (29.1%), clarithromycin (61.8%), and amoxicillin (40%). CONCLUSION: At the time of the survey, most Israel Board-certified gastroenterology specialists prescribed triple anti-H. pylori treatment of one-week's duration. FAU - Fireman, Z AU - Fireman Z AD - Gastroenterology Department, Hillel Yaffe Medical Center, Hadera, Israel. fireman@post.tau.ac.il FAU - Segal, A AU - Segal A FAU - Moshkowitz, M AU - Moshkowitz M FAU - Kopelman, Y AU - Kopelman Y FAU - Sternberg, A AU - Sternberg A LA - eng PT - Journal Article PL - England TA - Helicobacter JT - Helicobacter JID - 9605411 RN - 0 (Anti-Bacterial Agents) RN - 0 (Penicillins) RN - 0 (Proton Pump Inhibitors) RN - 033KF7V46H (Tinidazole) RN - 140QMO216E (Metronidazole) RN - 804826J2HU (Amoxicillin) RN - H1250JIK0A (Clarithromycin) SB - IM MH - Amoxicillin/pharmacology/therapeutic use MH - Anti-Bacterial Agents/pharmacology/therapeutic use MH - Clarithromycin/pharmacology/therapeutic use MH - Health Care Surveys MH - Helicobacter pylori/*drug effects MH - Humans MH - Israel MH - Metronidazole/pharmacology/therapeutic use MH - Penicillins/pharmacology/therapeutic use MH - Peptic Ulcer/*microbiology/*therapy MH - Proton Pump Inhibitors MH - Tinidazole/pharmacology/therapeutic use EDAT- 1998/06/19 00:00 MHDA- 1998/06/19 00:01 CRDT- 1998/06/19 00:00 PHST- 1998/06/19 00:00 [pubmed] PHST- 1998/06/19 00:01 [medline] PHST- 1998/06/19 00:00 [entrez] AID - 10.1046/j.1523-5378.1998.08032.x [doi] PST - ppublish SO - Helicobacter. 1998 Jun;3(2):93-6. doi: 10.1046/j.1523-5378.1998.08032.x.