Helicobacter pylori eradication
Helicobacter pylori can be effectively eradicated by a one- to two-week course of antibiotics,
bismuth subsalicylate and omeprazole (Losec).The Helicobacter pylori bacteria which lives in the stomach, gained
prominence in 1983 when two Australian doctors found that it is a major cause of stomach ulcers and some
types of stomach cancer. Eliminating H. pylori has become standard treatment for
peptic ulcers and would also appear to be useful in the prevention of stomach cancer.
Dr. Martin Blaser of the Department of Veterans Affairs now warns that a lack of H. pylori may be behind the
recent increase in the incidence of gastroesophageal reflux disease (GERD), Barrett's esophagus, and
esophageal cancer. Dr. Blaser points out that the human stomach and H. pylori have lived in harmony for
millions of years. However, recently the incidence of H. pylori colonization has declined in the Western
world because of, among other reasons, the excessive use of antibiotics in children. This decline has been
accompanied by a substantial increase in GERD and esophageal cancer. GERD is uncommon in countries
where most people are colonized ("infected") by H. pylori. Dr. Blaser believes that the most common strain
of H. pylori (cag+) is protective against GERD, Barrett's esophagus, and esophageal cancer but can
promote stomach ulcers and cancer. He believes H. pylori exerts its effect by regulating acid secretion in
different parts of the stomach.
Blaser, Martin J. Hypothesis: The changing relationship of Helicobacter pylori and humans: implications for
health and disease. Journal of Infectious Diseases, Vol. 179, June 1999, pp.1523-30
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