First-line Helicobacter pylori eradication among patients with chronic liver diseases in Taiwan

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• 作者：Cheng-En Tsai^a ; ^b ; Chih-Ming Liang^a ; ^b ; Chen-Hsiang Lee^b ; ^c ; Yuan-Hung Kuo^a ; ^b ; Keng-Liang Wu^a ; ^b ; Yi-Chun Chiu^a ; ^b ; Wei-Chen Tai^a ; ^b ; ^{luketai1019@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Seng-Kee Chuah^a ; ^b
• 关键词：chronic liver disease ; Helicobacter pylori eradication
• 刊名：The Kaohsiung Journal of Medical Sciences
• 出版年：2016
• 出版时间：August 2016
• 年：2016
• 卷：32
• 期：8
• 页码：397-402
• 全文大小：243 K

文摘

Helicobacter pylori eradication in patients with chronic liver diseases (CLDs) and liver cirrhosis is seldom reported. This study aimed to assess the efficacy of 7-day standard triple therapy in patients with CLD including cirrhosis and to investigate the clinical factors influencing the success of eradication. A total of 592 H. pylori-infected patients, who received 7-day standard first-line triple therapy between January 1, 2014, and December 31, 2014, were recruited. Patients were divided into two groups: CLD group (N = 136) and non-CLD group (N = 456). The eradication rates attained by the CLD and non-CLD groups were 86.0% and 84.2%, respectively, in the per-protocol analysis (p = 0.606). The eradication rates of liver cirrhosis and noncirrhosis CLD were 88.5% and 84.3%, respectively (p = 0.783). The adverse events were similar between the two groups (8.8% vs. 9.2%, p = 0.891). Compliance between the two groups was good (99.3% vs. 99.6%, p = 0.670). The univariate analysis showed male sex to be the significant clinical factor in the non-CLD group (p = 0.001) and alcohol consumption to be the significant clinical factor influencing H. pylori eradication rate in patients with CLD (p = 0.022). Alcohol consumption was the only significant factor influencing H. pylori eradication in multivariate analysis (odds ratio = 3.786, p = 0.031). The results of this study suggest that H. pylori eradication rates in patients with CLD may be comparable with non-CLD patients. Alcohol consumption was the significant factor influencing H. pylori eradication in patients with CLD.