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Helicobacter pylori management in ASEAN: The Bangkok consensus report
Varocha Mahachai1,2, Ratha-Korn Vilaichone3,2, Rapat Pittayanon1,2
1Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Insights
Helicobacter pylori (H. pylori) infection causes significant upper gastrointestinal diseases. This Bangkok consensus report provides expert recommendations for H. pylori diagnosis and management in ASEAN countries.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Clinical Practice Guidelines
Background:
- Helicobacter pylori (H. pylori) infection is a primary cause of major upper gastrointestinal diseases, including chronic gastritis, peptic ulcer, gastric adenocarcinoma, and MALT lymphoma.
- Effective management strategies for H. pylori are crucial for reducing the burden of these diseases in the ASEAN region.
Purpose of the Study:
- To review and evaluate clinical aspects of H. pylori infection.
- To develop consensus statements, rationales, and grades of recommendation for H. pylori management in ASEAN countries.
- To provide evidence-based guidance for clinicians in diagnosing and treating H. pylori and its associated diseases.
Main Methods:
- Convened a consensus meeting with 34 international experts from 10 ASEAN countries, Japan, Taiwan, and the United States.
- Focused discussions on four key areas: epidemiology and disease association, diagnostic tests, management, and follow-up after eradication.
- Utilized consensus voting on workshop results to finalize statements, rationales, and recommendations based on current evidence.
Main Results:
- Developed consensus statements and recommendations for H. pylori management.
- Provided evidence-based rationales to support clinical decision-making.
- Addressed critical aspects of H. pylori infection, from diagnosis to post-eradication follow-up.
Conclusions:
- The Bangkok consensus report offers a unified approach to H. pylori management tailored for ASEAN clinicians.
- The recommendations aim to improve the diagnosis and treatment of H. pylori infection and its sequelae.
- This collaborative effort enhances the clinical practice guidelines for H. pylori in the region.
Abstract:
Helicobacter pylori (H. pylori) infection remains to be the major cause of important upper gastrointestinal diseases such as chronic gastritis, peptic ulcer, gastric adenocarcinoma, and mucosa-associated lymphoid tissue lymphoma. H. pylori management in ASEAN: the Bangkok consensus report gathered key opinion leaders for the region to review and evaluate clinical aspects of H. pylori infection and to develop consensus statements, rationales, and grades of recommendation for the management of H. pylori infection in clinical practice in ASEAN countries. This ASEAN Consensus consisted of 34 international experts from 10 ASEAN countries, Japan, Taiwan, and the United States. The meeting mainly focused on four issues: (i) epidemiology and disease association; (ii) diagnostic tests; (iii) management; and (iv) follow-up after eradication. The final results of each workshop were presented for consensus voting by all participants. Statements, rationale, and recommendations were developed from the available current evidence to help clinicians in the diagnosis and treatment of H. pylori and its clinical diseases.
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