Helicobacter pylori is a common chronic bacterial infection, affects at least 50% of the worldwide population, and is a cause of peptic ulcers, chronic gastritis, dyspepsia, gastric adenocarcinoma, and lymphoma. 1 Helicobacter pylori infection is more common in the developing world and is most commonly acquired during childhood. 1 In 2015, the Kyoto guidelines (sponsored by the Japanese Society of Gastroenterology) incorporated the results of a global consensus meeting, a portion of which was devoted to developing guidelines regardingwhen,inwhom,andhowtotreatHpylorigastritis. 2 Theseguidelines designated H pylori as an infectious disease and advised that all patients with H pylori be treated. Eradication of H pylori was advised to arrest development of preneoplastic changes and minimize risk of later complications.ManyoftheexpertswhocontributedtotheKyotoguidelines were from Japan, a country with a high incidence of gastric cancer. The fifth iteration of the Maastricht/Florence consensus report builds onandreexaminestherecommendationsofthe2015Kyotoguidelines. 3
Characteristics of the Guideline SourceClinical Review & Education