The effect of Helicobacter pylori eradication therapy on the development of gastroesophageal reflux disease

Am J Med Sci. 2015 Apr;349(4):364-71. doi: 10.1097/MAJ.0000000000000429.

Abstract

Background: It is uncertain whether the Helicobacter pylori eradication therapy makes a role in the progression of gastroesophageal reflux disease (GERD).

Methods: A meta-analysis was undertaken to investigate the effect of H pylori eradication therapy on the development of GERD.

Results: Overall, 16 cohort studies were included. The authors demonstrated that H pylori eradication had no significant effect on the occurrence of GERD in these cohort studies (odds ratio = 0.87, 95% confidence interval = 0.66-1.14, I = 32.4%, P = 0.103).

Conclusions: In general, H pylori eradication has no significant effect on the development of GERD in the long term. However, eradication therapy should be taken once there is H pylori infection, because H pylori infection is acknowledged to be a major cause of acute and chronic gastritis and peptic ulcer diseases and has been established as a definite etiologic factor for gastric cancer.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Gastroesophageal Reflux / etiology*
  • Gastroesophageal Reflux / prevention & control
  • Helicobacter Infections / complications
  • Helicobacter Infections / drug therapy*
  • Helicobacter pylori*
  • Humans