Enter your Email address:
Wolters Kluwer Health may email you for journal alerts and information, but is committed
to maintaining your privacy and will not share your personal information without
You currently have no recent searches
Goddard, Mark*; Lloyd, Carla†; Beattie, R. Mark‡; Hansen, Richard*
*School of Medicine, University of Aberdeen, Aberdeen
†British Society of Paediatric Gastroenterology, Hepatology and Nutrition, Birmingham Children's Hospital, Birmingham
‡Southampton General Hospital, Southampton, UK
To the Editor:
We surveyed the British Society of Paediatric Gastroenterology, Hepatology, and Nutrition (BSPGHAN) to compare UK practice against recent European Society of Paediatric Gastroenterology, Hepatology, and Nutrition/North American Society of Paediatric Gastroenterology, Hepatology, and Nutrition guidelines (1) on paediatric Helicobacter pylori. The survey elicited 39 responses from throughout the United Kingdom. Questions based on the guidelines pertained to “a 10-year-old boy with dyspepsia and a positive family history of H pylori–associated peptic ulcers.”
All of the respondents bar 1 would test for H pylori, correctly choosing an endoscopic investigation. Paediatric guidelines are in contrast to their adult counterparts, particularly in their support of endoscopy for diagnosis (2,3). Ninety-seven percent of responses selected an appropriate triple therapy regimen; however, nobody selected sequential therapy. All agreed treatment for 7 to 14 days. Interestingly, 39% would not test for eradication if symptoms improved, despite this being a recommendation. When asked how long to wait before retesting, 72% would wait the appropriate 4 to 8 weeks. Almost all agreed with stool enzyme-linked immunosorbent assay or urea breath test to confirm eradication, agreeing that 4 weeks without antibiotics and 2 weeks without PPIs were appropriate beforehand.
Respondents would universally eradicate H pylori in the presence of peptic ulceration at endoscopy. Interestingly, responses were universally in favour of treating gastritis and overwhelmingly (79%) in favour of treating an endoscopically normal stomach, in the presence of H pylori, despite ambiguity in the guidelines. Evidence is growing that childhood H pylori may be beneficial in a number of ways (4). Eradication of H pylori has little effect on recurrent abdominal pain (5). Our approach to the eradication of incidental H pylori merits further debate.
Copyright 2012 by ESPGHAN and NASPGHAN
Colleague's E-mail is Invalid
Your Name: (optional)
Separate multiple e-mails with a (;).
Thought you might appreciate this item(s) I saw at Journal of Pediatric Gastroenterology and Nutrition.
Send a copy to your email
Your message has been successfully sent to your colleague.
Some error has occurred while processing your request. Please try after some time.
An Existing Folder
A New Folder
The item(s) has been successfully added to "".
Login with your LWW Journals username and password.
Username or Email:
Enter and submit the email address you registered with. An email with instructions to reset your password will be sent to that address.
Link to reset your password has been sent to specified email address.
What does "Remember me" mean?
By checking this box, you'll stay logged in for
days or until you logout. You'll get easier access to your articles, collections,
media, and all your other content, even if you close your browser or shut down your
To protect your most sensitive data and activities (like changing your password),
we'll ask you to re-enter your password when you access these services.
What if I'm on a computer that I share with others?
If you're using a public computer or you share this computer with others, we recommend
that you uncheck the "Remember me" box.
Save my selection
Visit JPGN.org on your smartphone. Scan this code (QR reader app required) with your phone and be taken directly to the site.