第六次全国幽门螺杆菌感染处理共识报告(非根除治疗部分)

Sixth Chinese National Consensus Report on Management of Helicobacter pylori Infection(Treatment Excluded)

由中华医学会消化病学分会幽门螺杆菌(Hp)学组主办的第六次全国Hp感染处理共识会议于2021年12月17日在江西南昌召开。我国消化病学和Hp研究领域的专家出席会议,并分组起草相关陈述。采用《牛津循证医学中心证据水平分级2011版》评估陈述的证据等级,根据推荐等级的评估、制定与评价(GRADE)系统的指导原则对陈述的推荐强度进行分级,并使用德尔菲法达成相关陈述的共识。构建的陈述通过多轮讨论、修改后,由参会专家对陈述条款进行最终表决。本共识共包含30条陈述,分为四部分:(1)Hp感染的诊断;(2)Hp感染的根除指征;(3)Hp感染与胃癌;(4)Hp感染与胃肠道微生态。

The sixth national consensus conference on the management of Helicobacter pylori(Hp)infection organized by Helicobacter pylori Study Group of Chinese Society of Gastroenterology was held at Nanchang,Jiangxi Province on December 17,2021.Experts in the field of Hp research and gastroenterology attended the meeting and several consensus preparatory groups were established to draft the related statements.The level of evidence was evaluated using the 2011 Oxford Centre for Evidence⁃Based Medicine Levels of Evidence.The strength of recommendation was graded by GRADE(grading of recommendations assessment,development,and evaluation)system.The Delphi method using an anonymous electronic system was adopted to develop the consensus of relevant statements.The statements initially reached a consensus were discussed repeatedly in the conference and the experts voted for the final consensus.The consensus contents contained a total of 30 statements and were divided into 4 parts,including:(a)diagnosis of Hp infection,(b)indications for Hp eradication,(c)Hp and gastric cancer,and(d)Hp and gastrointestinal microbiota.