Kyoto global consensus report on Helicobacter pylori gastritis

faculty members of Kyoto Global Consensus Conference

Research output: Contribution to journalArticle

402 Citations (Scopus)

Abstract

Objective To present results of the Kyoto Global Consensus Meeting, which was convened to develop global consensus on (1) classification of chronic gastritis and duodenitis, (2) clinical distinction of dyspepsia caused by Helicobacter pylori from functional dyspepsia, (3) appropriate diagnostic assessment of gastritis and (4) when, whom and how to treat H. pylori gastritis. Design Twenty-three clinical questions addressing the above-mentioned four domains were drafted for which expert panels were asked to formulate relevant statements. A Delphi method using an anonymous electronic system was adopted to develop the consensus, the level of which was predefined as ≥80%. Final modifications of clinical questions and consensus were achieved at the face-to-face meeting in Kyoto. Results All 24 statements for 22 clinical questions after extensive modifications and omission of one clinical question were achieved with a consensus level of >80%. To better organise classification of gastritis and duodenitis based on aetiology, a new classification of gastritis and duodenitis is recommended for the 11th international classification. A new category of H. pyloriassociated dyspepsia together with a diagnostic algorithm was proposed. The adoption of grading systems for gastric cancer risk stratification, and modern image-enhancing endoscopy for the diagnosis of gastritis, were recommended. Treatment to eradicate H. pylori infection before preneoplastic changes develop, if feasible, was recommended to minimise the risk of more serious complications of the infection. Conclusions A global consensus for gastritis was developed for the first time, which will be the basis for an international classification system and for further research on the subject.

Original languageEnglish (US)
Pages (from-to)1353-1367
Number of pages15
JournalGut
Volume64
Issue number9
DOIs
StatePublished - Sep 1 2015

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Gastritis
Helicobacter pylori
Duodenitis
Dyspepsia
Helicobacter Infections
Endoscopy
Stomach Neoplasms
Infection
Research

ASJC Scopus subject areas

  • Gastroenterology

Cite this

faculty members of Kyoto Global Consensus Conference (2015). Kyoto global consensus report on Helicobacter pylori gastritis. Gut, 64(9), 1353-1367. https://doi.org/10.1136/gutjnl-2015-309252

Kyoto global consensus report on Helicobacter pylori gastritis. / faculty members of Kyoto Global Consensus Conference.

In: Gut, Vol. 64, No. 9, 01.09.2015, p. 1353-1367.

Research output: Contribution to journalArticle

faculty members of Kyoto Global Consensus Conference 2015, 'Kyoto global consensus report on Helicobacter pylori gastritis', Gut, vol. 64, no. 9, pp. 1353-1367. https://doi.org/10.1136/gutjnl-2015-309252
faculty members of Kyoto Global Consensus Conference. Kyoto global consensus report on Helicobacter pylori gastritis. Gut. 2015 Sep 1;64(9):1353-1367. https://doi.org/10.1136/gutjnl-2015-309252
faculty members of Kyoto Global Consensus Conference. / Kyoto global consensus report on Helicobacter pylori gastritis. In: Gut. 2015 ; Vol. 64, No. 9. pp. 1353-1367.
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abstract = "Objective To present results of the Kyoto Global Consensus Meeting, which was convened to develop global consensus on (1) classification of chronic gastritis and duodenitis, (2) clinical distinction of dyspepsia caused by Helicobacter pylori from functional dyspepsia, (3) appropriate diagnostic assessment of gastritis and (4) when, whom and how to treat H. pylori gastritis. Design Twenty-three clinical questions addressing the above-mentioned four domains were drafted for which expert panels were asked to formulate relevant statements. A Delphi method using an anonymous electronic system was adopted to develop the consensus, the level of which was predefined as ≥80{\%}. Final modifications of clinical questions and consensus were achieved at the face-to-face meeting in Kyoto. Results All 24 statements for 22 clinical questions after extensive modifications and omission of one clinical question were achieved with a consensus level of >80{\%}. To better organise classification of gastritis and duodenitis based on aetiology, a new classification of gastritis and duodenitis is recommended for the 11th international classification. A new category of H. pyloriassociated dyspepsia together with a diagnostic algorithm was proposed. The adoption of grading systems for gastric cancer risk stratification, and modern image-enhancing endoscopy for the diagnosis of gastritis, were recommended. Treatment to eradicate H. pylori infection before preneoplastic changes develop, if feasible, was recommended to minimise the risk of more serious complications of the infection. Conclusions A global consensus for gastritis was developed for the first time, which will be the basis for an international classification system and for further research on the subject.",
author = "{faculty members of Kyoto Global Consensus Conference} and Kentaro Sugano and Jan Tack and Kuipers, {Ernst J.} and Graham, {David Y.} and El-Omar, {Emad M.} and Soichiro Miura and Ken Haruma and Masahiro Asaka and Naomi Uemura and Peter Malfertheiner and Takeshi Azuma and Franco Bazzoli and Chan, {Francis Ka Leung} and Minhu Chen and Naoki Chiba and Tsutomu Chiba and {Vas Coelho}, {Luiz Gonzaga} and {Di Mario}, Francesco and Fock, {Kwong Ming} and Yasuhiro Fukuda and Genta, {Robert Maximilian} and Goh, {Khean Lee} and Katelaris, {Peter Harry} and Mototsugu Kato and Takashi Kawai and Ryuji Kushima and Varocha Mahachai and Takeshi Matsuhisa and Hiroto Miwa and Kazunari Murakami and O'Morain, {Colm Antoine} and Massimo Rugge and Kiichi Sato and Tadashi Shimoyama and Toshiro Sugiyama and Hidekazu Suzuki and Kazuyoshi Yagi and Wu, {Ming Shiang} and Masanori Ito and Nayoung Kim and Takahisa Furuta and Francis M{\'e}graud and Akiko Shiotani and Tomonori Kamada",
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T1 - Kyoto global consensus report on Helicobacter pylori gastritis

AU - faculty members of Kyoto Global Consensus Conference

AU - Sugano, Kentaro

AU - Tack, Jan

AU - Kuipers, Ernst J.

AU - Graham, David Y.

AU - El-Omar, Emad M.

AU - Miura, Soichiro

AU - Haruma, Ken

AU - Asaka, Masahiro

AU - Uemura, Naomi

AU - Malfertheiner, Peter

AU - Azuma, Takeshi

AU - Bazzoli, Franco

AU - Chan, Francis Ka Leung

AU - Chen, Minhu

AU - Chiba, Naoki

AU - Chiba, Tsutomu

AU - Vas Coelho, Luiz Gonzaga

AU - Di Mario, Francesco

AU - Fock, Kwong Ming

AU - Fukuda, Yasuhiro

AU - Genta, Robert Maximilian

AU - Goh, Khean Lee

AU - Katelaris, Peter Harry

AU - Kato, Mototsugu

AU - Kawai, Takashi

AU - Kushima, Ryuji

AU - Mahachai, Varocha

AU - Matsuhisa, Takeshi

AU - Miwa, Hiroto

AU - Murakami, Kazunari

AU - O'Morain, Colm Antoine

AU - Rugge, Massimo

AU - Sato, Kiichi

AU - Shimoyama, Tadashi

AU - Sugiyama, Toshiro

AU - Suzuki, Hidekazu

AU - Yagi, Kazuyoshi

AU - Wu, Ming Shiang

AU - Ito, Masanori

AU - Kim, Nayoung

AU - Furuta, Takahisa

AU - Mégraud, Francis

AU - Shiotani, Akiko

AU - Kamada, Tomonori

PY - 2015/9/1

Y1 - 2015/9/1

N2 - Objective To present results of the Kyoto Global Consensus Meeting, which was convened to develop global consensus on (1) classification of chronic gastritis and duodenitis, (2) clinical distinction of dyspepsia caused by Helicobacter pylori from functional dyspepsia, (3) appropriate diagnostic assessment of gastritis and (4) when, whom and how to treat H. pylori gastritis. Design Twenty-three clinical questions addressing the above-mentioned four domains were drafted for which expert panels were asked to formulate relevant statements. A Delphi method using an anonymous electronic system was adopted to develop the consensus, the level of which was predefined as ≥80%. Final modifications of clinical questions and consensus were achieved at the face-to-face meeting in Kyoto. Results All 24 statements for 22 clinical questions after extensive modifications and omission of one clinical question were achieved with a consensus level of >80%. To better organise classification of gastritis and duodenitis based on aetiology, a new classification of gastritis and duodenitis is recommended for the 11th international classification. A new category of H. pyloriassociated dyspepsia together with a diagnostic algorithm was proposed. The adoption of grading systems for gastric cancer risk stratification, and modern image-enhancing endoscopy for the diagnosis of gastritis, were recommended. Treatment to eradicate H. pylori infection before preneoplastic changes develop, if feasible, was recommended to minimise the risk of more serious complications of the infection. Conclusions A global consensus for gastritis was developed for the first time, which will be the basis for an international classification system and for further research on the subject.

AB - Objective To present results of the Kyoto Global Consensus Meeting, which was convened to develop global consensus on (1) classification of chronic gastritis and duodenitis, (2) clinical distinction of dyspepsia caused by Helicobacter pylori from functional dyspepsia, (3) appropriate diagnostic assessment of gastritis and (4) when, whom and how to treat H. pylori gastritis. Design Twenty-three clinical questions addressing the above-mentioned four domains were drafted for which expert panels were asked to formulate relevant statements. A Delphi method using an anonymous electronic system was adopted to develop the consensus, the level of which was predefined as ≥80%. Final modifications of clinical questions and consensus were achieved at the face-to-face meeting in Kyoto. Results All 24 statements for 22 clinical questions after extensive modifications and omission of one clinical question were achieved with a consensus level of >80%. To better organise classification of gastritis and duodenitis based on aetiology, a new classification of gastritis and duodenitis is recommended for the 11th international classification. A new category of H. pyloriassociated dyspepsia together with a diagnostic algorithm was proposed. The adoption of grading systems for gastric cancer risk stratification, and modern image-enhancing endoscopy for the diagnosis of gastritis, were recommended. Treatment to eradicate H. pylori infection before preneoplastic changes develop, if feasible, was recommended to minimise the risk of more serious complications of the infection. Conclusions A global consensus for gastritis was developed for the first time, which will be the basis for an international classification system and for further research on the subject.

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