第五次全国幽门螺杆菌感染处理共识报告

Fifth Chinese national consensus report on the management of Helicobacter pylori infection

由中华医学会消化病学分会幽门螺杆菌和消化性溃疡学组主办的"幽门螺杆菌感染处理Maastricht-5共识研讨会暨第5次全国幽门螺杆菌感染处理共识会"于2016年12月15日至16日在浙江杭州召开。中国消化病学和幽门螺杆菌(Helicobacter pylori,H.pylori)研究领域的专家和学组成员共80余人出席了会议。共识筹备小组负责起草相关"陈述"。采用GRADE系统评估证据质量及Delphi方法达成相关"陈述"的共识。构建的"陈述"先通过电子邮件方式征询相关专家意见,通过2轮征询后,初步达成共识的"陈述"在会议上逐条经过讨论,并进行了必要的修改。参会人员中21位核心成员参加了"陈述"条款的最终表决。本共识内容分为H.pylori根除指征、诊断、治疗、H.pylori感染与胃癌、特殊人群H.pylori感染、H.pylori感染与胃肠道微生态6部分,共48条"陈述"。

The fifth National Consensus Conference on the management ofHelicobacterpylori （H.pylori） infection organized by Chinese Medical Association, Chinese Society of Gastroenterology, H.pylori and peptic ulcer study group was held at Hangzhou, Zhejiang Province on December 15-16, 2016. More than 80 members of the Study Group and experts in the field of H.pylori research and gastroenterology attended the meeting. Consensus preparatory group was established to draft the related statements. The quality of evidence and strength of recommendation was evaluated by GRADE system. The Delphi method using an anonymous electronic system was adopted to develop the consensus of relevant statements. Expert advices about the established statements were firstly consulted through the email. Undergoing two rounds of consultation, the statements initially reached a consensus were discussed in the conference item by item and were necessarily modified. A total of 21 core members voted for the final consensus. The consensus contents contained a total of 48 statements and were divided into 6 parts, including indications for H.pylori eradication, diagnosis, treatment, H.pylori and gastric cancer, H.pylori infection in special populations, H.pylori and gastrointestinal microbiota.