TY - JOUR
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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U2 - 10.1136/gutjnl-2015-309252
DO - 10.1136/gutjnl-2015-309252
M3 - Review article
C2 - 26187502
AN - SCOPUS:84941337439
SN - 0017-5749
VL - 64
SP - 1353
EP - 1367
JO - Gut
JF - Gut
IS - 9
ER -