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Rank order of success favors longer duration of imidazole-based therapy for Helicobacter pylori in duodenal ulcer disease: a randomized pilot study.
Helicobacter. 2004 Apr; 9(2):124-9.H

Abstract

BACKGROUND

Studies on eradication therapy in developing countries have shown a success rate of 70-85%, which is suboptimal. Duration of therapy may be an important factor dictating eradication success in such regions.

AIMS

The study was undertaken to evaluate the effect of increasing the treatment period on eradication of Helicobacter pylori in duodenal ulcer disease.

METHODS

A randomized trial was carried out in which 64 consecutive H. pylori-infected patients with duodenal ulcer disease were enrolled. The patients were randomized to one of the three trial arms. Therapy consisted of lansoprazole 30 mg twice a day (b.i.d.), amoxycillin 1 g b.i.d. and tinidazole 500 mg b.i.d. The treatment period was 1 week in group I, 2 weeks in group II and 3 weeks in group III. At inclusion, patients underwent endoscopy and the presence of H. pylori was documented by a positive urease test and C14 urea breath test. Four weeks after completion of eradication therapy, the patients were subjected to repeat endoscopy to assess ulcer healing and tests for H. pylori infection.

RESULTS

Sixty-four patients (55 male and nine female; mean age 35.5 years) were enrolled in each group. The H. pylori eradication rate for group I (1 week of therapy) was 47.6%, that for group II (2 weeks of therapy) was 80%, and that for group III (3 weeks of therapy) was 91.3% (p =.003). The ulcer healing rates were 71.4, 80 and 95.6% in groups I, II and III, respectively (p =.09).

CONCLUSIONS

The 3-week regimen significantly improved the eradication rate as compared with the 1-week regime. Increasing the duration of therapy significantly improved the chances of eradication of H. pylori in duodenal ulcer disease.

Authors+Show Affiliations

Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

15068413

Citation

Chaudhary, Ashmit, et al. "Rank Order of Success Favors Longer Duration of Imidazole-based Therapy for Helicobacter Pylori in Duodenal Ulcer Disease: a Randomized Pilot Study." Helicobacter, vol. 9, no. 2, 2004, pp. 124-9.
Chaudhary A, Ahuja V, Bal CS, et al. Rank order of success favors longer duration of imidazole-based therapy for Helicobacter pylori in duodenal ulcer disease: a randomized pilot study. Helicobacter. 2004;9(2):124-9.
Chaudhary, A., Ahuja, V., Bal, C. S., Das, B., Pandey, R. M., & Sharma, M. P. (2004). Rank order of success favors longer duration of imidazole-based therapy for Helicobacter pylori in duodenal ulcer disease: a randomized pilot study. Helicobacter, 9(2), 124-9.
Chaudhary A, et al. Rank Order of Success Favors Longer Duration of Imidazole-based Therapy for Helicobacter Pylori in Duodenal Ulcer Disease: a Randomized Pilot Study. Helicobacter. 2004;9(2):124-9. PubMed PMID: 15068413.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rank order of success favors longer duration of imidazole-based therapy for Helicobacter pylori in duodenal ulcer disease: a randomized pilot study. AU - Chaudhary,Ashmit, AU - Ahuja,Vineet, AU - Bal,Chandrasekhar S, AU - Das,Bimal, AU - Pandey,Ravinder Mohan, AU - Sharma,Mahesh Prakash, PY - 2004/4/8/pubmed PY - 2004/7/16/medline PY - 2004/4/8/entrez SP - 124 EP - 9 JF - Helicobacter JO - Helicobacter VL - 9 IS - 2 N2 - BACKGROUND: Studies on eradication therapy in developing countries have shown a success rate of 70-85%, which is suboptimal. Duration of therapy may be an important factor dictating eradication success in such regions. AIMS: The study was undertaken to evaluate the effect of increasing the treatment period on eradication of Helicobacter pylori in duodenal ulcer disease. METHODS: A randomized trial was carried out in which 64 consecutive H. pylori-infected patients with duodenal ulcer disease were enrolled. The patients were randomized to one of the three trial arms. Therapy consisted of lansoprazole 30 mg twice a day (b.i.d.), amoxycillin 1 g b.i.d. and tinidazole 500 mg b.i.d. The treatment period was 1 week in group I, 2 weeks in group II and 3 weeks in group III. At inclusion, patients underwent endoscopy and the presence of H. pylori was documented by a positive urease test and C14 urea breath test. Four weeks after completion of eradication therapy, the patients were subjected to repeat endoscopy to assess ulcer healing and tests for H. pylori infection. RESULTS: Sixty-four patients (55 male and nine female; mean age 35.5 years) were enrolled in each group. The H. pylori eradication rate for group I (1 week of therapy) was 47.6%, that for group II (2 weeks of therapy) was 80%, and that for group III (3 weeks of therapy) was 91.3% (p =.003). The ulcer healing rates were 71.4, 80 and 95.6% in groups I, II and III, respectively (p =.09). CONCLUSIONS: The 3-week regimen significantly improved the eradication rate as compared with the 1-week regime. Increasing the duration of therapy significantly improved the chances of eradication of H. pylori in duodenal ulcer disease. SN - 1083-4389 UR - https://www.unboundmedicine.com/medline/citation/15068413/Rank_order_of_success_favors_longer_duration_of_imidazole_based_therapy_for_Helicobacter_pylori_in_duodenal_ulcer_disease:_a_randomized_pilot_study_ L2 - https://doi.org/10.1111/j.1083-4389.2004.00208.x DB - PRIME DP - Unbound Medicine ER -