| المؤلفون: |
Coelho LGV; Universidade Federal de Minas Gerais, Instituto Alfa de Gastroenterologia, Belo Horizonte, MG, Brasil., Marinho JR; Universidade Estadual de Ciências da Saúde de Alagoas, Departamento de Doenças Infecciosas, Maceió, Al, Brasil., Genta R; Miraca Life Sciences, GI Pathology, Irving, Texas, United States., Ribeiro LT; Hospital Universitário Prof. Alberto Antunes, Divisão de Endoscopia, Maceió, Al, Brasil., Passos MDCF; Universidade Federal de Minas Gerais, Faculdade de Medicina, Departamento de Clínica Médica, Belo Horizonte, MG, Brasil., Zaterka S; Universidade de Campinas, Disciplina de Gastroenterologia, Campinas, SP, Brasil., Assumpção PP; Universidade Federal do Pará, Núcleo de Pesquisas em Oncologia, Belém, PA, Brasil., Barbosa AJA; Universidade Federal de Minas Gerais, Faculdade Medicina, Anatomia Patológica, Belo Horizonte, MG, Brasil., Barbuti R; Universidade de São Paulo, Hospital das Clínicas, Gastroenterologia, São Paulo, SP, Brasil., Braga LL; Universidade Federal do Ceará, Medicina Interna, Gastroenterologia, Fortaleza, CE, Brasil., Breyer H; Universidade Federal do Rio Grande do Sul, Hospital de Clínicas, Endoscopia, Porto Alegre, RS, Brasil., Carvalhaes A; Hospital São Lucas, Endoscopia, Campinas, São Paulo, Brasil., Chinzon D; Universidade de São Paulo, Hospital das Clínicas, Gastroenterologia, São Paulo, São Paulo, Brasil., Cury M; Clínica SCOPE, Endoscopia avançada, Campo Grande, MS, Brasil., Domingues G; Universidade Estadual do Rio de Janeiro, Gastroenterologia, Rio de Janeiro, RJ, Brasil., Jorge JL; Consultório Médico, Gastroenterologia, Florianópolis, SC, Brasil., Maguilnik I; Universidade Federal do Rio Grande do Sul, Medicina Interna, Endoscopia, Porto Alegre, RS, Brasil., Marinho FP; Universidade Federal de Minas Gerais, Hospital das Clínicas, Instituto Alfa de Gastroenterologia, Minas Gerais, BH, Brasil., Moraes-Filho JP; Universidade de São Paulo, Faculdade de Medicina, Disciplina de Gastroenterologia, Sao Paulo, SP, Brasil., Parente JML; Universidade Federal do Piauí, Gastroenterologia, Teresina, Piauí, Brasil., Paula-E-Silva CM; Consultório Médico, Gastroenterologia, Belo Horizonte, MG, Brasil., Pedrazzoli-Júnior J; Universidade São Francisco, Farmacologia Clínica, Bragança Paulista, SP, Brasil., Ramos AFP; Universidade Federal de Minas Gerais, Hospital das Clínicas, Instituto Alfa de Gastroenterologia, Minas Gerais, BH, Brasil., Seidler H; Universidade Católica de Brasília, Patologia, Brasília, Distrito Federal, Brasil., Spinelli JN; Endovídeo, Gastroenterologia, Endoscopia Digestiva, João Pessoa, PB, Brasil., Zir JV; Consultório Médico, Gastroenterologia, Bento Gonçalves, RS, Brasil. |
| مستخلص: |
Significant progress has been obtained since the III Brazilian Consensus Conference on H. pylori infection held in 2012, in Bento Gonçalves, Brazil, and justify a fourth meeting to establish updated guidelines on the current management of H. pylori infection. Therefore, the Núcleo Brasileiro para Estudo do Helicobacter pylori e Microbiota (NBEHPM), association linked to Brazilian Federation of Gastroenterology (FBG) held its fourth meeting again in Bento Gonçalves, RS, Brazil, on August 25-27, 2017. Twenty-six delegates, including gastroenterologists, endoscopists, and pathologists from the five regions of Brazil as well as one international guest from the United States, participated in the meeting. The participants were invited based on their knowledge and contribution to the study of H. pylori infection. The meeting sought to review different aspects of treatment for infection; establish a correlation between infection, dyspepsia, intestinal microbiota changes, and other disorders with a special emphasis on gastric cancer; and reassess the epidemiological and diagnostic aspects of H. pylori infection. Participants were allocated into four groups as follows: 1) Epidemiology and Diagnosis, 2) Dyspepsia, intestinal microbiota and other afections, 3) Gastric Cancer, and, 4) Treatment. Before the consensus meeting, participants received a topic to be discussed and prepared a document containing a recent literature review and statements that should be discussed and eventually modified during the face-to-face meeting. All statements were evaluated in two rounds of voting. Initially, each participant discussed the document and statements with his group for possible modifications and voting. Subsequently, during a second voting in a plenary session in the presence of all participants, the statements were voted upon and eventually modified. The participants could vote using five alternatives: 1) strongly agree; 2) partially agree; 3) undecided; 4) disagree; and 5) strongly disagree. The adopted consensus index was that 80% of the participants responded that they strongly or partially agreed with each statement. The recommendations reported are intended to provide the most current and relevant evidences to management of H. pylori infection in adult population in Brazil. |
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