First-line Helicobacter pylori Eradication with Standard Triple Therapy and Concomitant Therapy: A Retrospective Study
10.7704/kjhugr.2018.18.2.120
- Author:
Moon Won LEE
1
;
Gwang Ha KIM
;
Sung Yong HAN
;
Young Joo PARK
;
Hye Kyung JEON
;
Bong Eun LEE
;
Geun Am SONG
Author Information
1. Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea. doc0224@pusan.ac.kr
- Publication Type:Original Article
- Keywords:
Concomitant therapy;
Disease eradication;
Helicobacter pylori;
Standard therapy
- MeSH:
Breath Tests;
Disease Eradication;
Helicobacter pylori;
Helicobacter;
Humans;
Medical Records;
Retrospective Studies
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
2018;18(2):120-126
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: The eradication rate of Helicobacter pylori with standard triple therapy as a first-line treatment has decreased to 70~85%. Recently, concomitant therapy has been reported to overcome this decrease in eradication rate to some degree. The aim of this retrospective study was to compare the efficacy of 7-day concomitant therapy with that of 7-day standard triple therapy as a first-line treatment. MATERIALS AND METHODS: Between March 2013 and February 2017, the medical records of 261 patients who received 7-day standard triple therapy or 7-day concomitant therapy as a first-line H. pylori eradication therapy were retrospectively evaluated. Successful eradication was confirmed using the 13C-urea breath test 6 to 8 weeks after the end of the eradication therapy. RESULTS: This study included 261 patients, 140 patients in the standard triple therapy group and 121 in the concomitant therapy group. The H. pylori eradication rate by intention-to-treat analysis was 60.0% in the standard triple therapy group and 81.0% in the concomitant therapy group (P<0.001). In the per-protocol analysis, the H. pylori eradication rates in the standard triple therapy and concomitant therapy groups were 69.4% and 88.3%, respectively (P<0.001). CONCLUSIONS: Concomitant therapy was more effective as a first-line H. pylori eradication therapy than the standard triple therapy.
