Healing of lymphocytic gastritis after Helicobacter pylori eradication therapy--a randomized, double-blind, placebo-controlled multicentre trial
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Healing of lymphocytic gastritis after Helicobacter pylori eradication therapy--a randomized, double-blind, placebo-controlled multicentre trial. / Madisch, A; Miehlke, S; Neuber, F; Morgner, A; Kuhlisch, E; Rappel, S; Lehn, N; Bayerdörffer, E; Seitz, G; Stolte, M.
in: ALIMENT PHARM THER, Jahrgang 23, Nr. 4, 15.02.2006, S. 473-9.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Healing of lymphocytic gastritis after Helicobacter pylori eradication therapy--a randomized, double-blind, placebo-controlled multicentre trial
AU - Madisch, A
AU - Miehlke, S
AU - Neuber, F
AU - Morgner, A
AU - Kuhlisch, E
AU - Rappel, S
AU - Lehn, N
AU - Bayerdörffer, E
AU - Seitz, G
AU - Stolte, M
PY - 2006/2/15
Y1 - 2006/2/15
N2 - BACKGROUND: An association between Helicobacter pylori infection and lymphocytic gastritis has been postulated.AIM: To assess the long-term effect of H. pylori eradication therapy on lymphocytic gastritis in a double-blind, placebo-controlled, multicentre trial.METHODS: Patients with lymphocytic gastritis were randomized to receive either 1-week triple therapy for eradication of H. pylori or omeprazole plus placebo. Endoscopy and histology was performed at baseline and after 3 and 12 months. Patients of the omeprazole/placebo group with persistent lymphocytic gastritis after 12 months received crossover open-label triple therapy.RESULTS: Fifty-one patients were randomized. Intention-to-treat analysis revealed a trend to a higher healing rate of lymphocytic gastritis 3 months after triple therapy compared with omeprazole/placebo (83.3% vs. 57.7%, 95% CI for RR: 0.8-2.8, P = 0.06). After 12 months, the healing rate of lymphocytic gastritis was significantly higher after triple therapy compared with omeprazole/placebo (intention-to-treat 95.8% vs. 53.8%, 95% CI for RR: 1.1-3.5, P = 0.01). All patients (n = 5) who received crossover triple therapy, showed healing of lymphocytic gastritis after further 12 months.CONCLUSION: Our study demonstrates that 1-week triple therapy aiming at eradication of H. pylori leads to a complete and long-lasting resolution of lymphocytic gastritis in the majority of patients.
AB - BACKGROUND: An association between Helicobacter pylori infection and lymphocytic gastritis has been postulated.AIM: To assess the long-term effect of H. pylori eradication therapy on lymphocytic gastritis in a double-blind, placebo-controlled, multicentre trial.METHODS: Patients with lymphocytic gastritis were randomized to receive either 1-week triple therapy for eradication of H. pylori or omeprazole plus placebo. Endoscopy and histology was performed at baseline and after 3 and 12 months. Patients of the omeprazole/placebo group with persistent lymphocytic gastritis after 12 months received crossover open-label triple therapy.RESULTS: Fifty-one patients were randomized. Intention-to-treat analysis revealed a trend to a higher healing rate of lymphocytic gastritis 3 months after triple therapy compared with omeprazole/placebo (83.3% vs. 57.7%, 95% CI for RR: 0.8-2.8, P = 0.06). After 12 months, the healing rate of lymphocytic gastritis was significantly higher after triple therapy compared with omeprazole/placebo (intention-to-treat 95.8% vs. 53.8%, 95% CI for RR: 1.1-3.5, P = 0.01). All patients (n = 5) who received crossover triple therapy, showed healing of lymphocytic gastritis after further 12 months.CONCLUSION: Our study demonstrates that 1-week triple therapy aiming at eradication of H. pylori leads to a complete and long-lasting resolution of lymphocytic gastritis in the majority of patients.
KW - Adult
KW - Aged
KW - Amoxicillin
KW - Anti-Bacterial Agents
KW - Anti-Ulcer Agents
KW - Clarithromycin
KW - Drug Therapy, Combination
KW - Female
KW - Gastritis
KW - Helicobacter Infections
KW - Helicobacter pylori
KW - Humans
KW - Lymphocyte Count
KW - Lymphocytes
KW - Male
KW - Middle Aged
KW - Omeprazole
KW - Prospective Studies
KW - Treatment Outcome
KW - Journal Article
KW - Multicenter Study
KW - Randomized Controlled Trial
KW - Research Support, Non-U.S. Gov't
U2 - 10.1111/j.1365-2036.2006.02778.x
DO - 10.1111/j.1365-2036.2006.02778.x
M3 - SCORING: Journal article
C2 - 16441467
VL - 23
SP - 473
EP - 479
JO - ALIMENT PHARM THER
JF - ALIMENT PHARM THER
SN - 0269-2813
IS - 4
ER -