{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T18:47:35Z","timestamp":1793040455448,"version":"4.5.0"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,12,4]],"date-time":"2023-12-04T00:00:00Z","timestamp":1701648000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["UEG Journal"],"published-print":{"date-parts":[[2024,2]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>Management of Helicobacter pylori<\/jats:italic> (H. pylori<\/jats:italic>) infection requires co\u2010treatment with proton pump inhibitors (PPIs) and the use of antibiotics to achieve successful eradication.<\/jats:p><\/jats:sec>Aim<\/jats:title>To evaluate the role of dosage of PPIs and the duration of therapy in the effectiveness of H. pylori<\/jats:italic> eradication treatments based on the \u2018European Registry on Helicobacter pylori<\/jats:italic> management\u2019 (Hp\u2010EuReg).<\/jats:p><\/jats:sec>Methods<\/jats:title>Hp\u2010EuReg is a multicentre, prospective, non\u2010interventionist, international registry on the routine clinical practice of H. pylori<\/jats:italic> management by European gastroenterologists. All infected adult patients were systematically registered from 2013 to 2022.<\/jats:p><\/jats:sec>Results<\/jats:title>Overall, 36,579 patients from five countries with more than 1000 patients were analysed. Optimal (\u226590%) first\u2010line\u2010modified intention\u2010to\u2010treat effectiveness was achieved with the following treatments: (1) 14\u2010day therapies with clarithromycin\u2010amoxicillin\u2010bismuth and metronidazole\u2010tetracycline\u2010bismuth, both independently of the PPI dose prescribed; (2) All 10\u2010day (except 10\u2010day standard triple therapy) and 14\u2010day therapies with high\u2010dose PPIs; and (3) 10\u2010day quadruple therapies with clarithromycin\u2010amoxicillin\u2010bismuth, metronidazole\u2010tetracycline\u2010bismuth, and clarithromycin\u2010amoxicillin\u2010metronidazole (sequential), all with standard\u2010dose PPIs. In first\u2010line treatment, optimal effectiveness was obtained with high\u2010dose PPIs in all 14\u2010day treatments, in 10\u2010 and 14\u2010day bismuth quadruple therapies and in 10\u2010day sequential with standard\u2010dose PPIs. Optimal second\u2010line effectiveness was achieved with (1) metronidazole\u2010tetracycline\u2010bismuth quadruple therapy for 14\u2010 and 10\u00a0days with standard and high\u2010dose PPIs, respectively; and (2) levofloxacin\u2010amoxicillin triple therapy for 14\u00a0days with high\u2010dose PPIs. None of the 7\u2010day therapies in both treatment lines achieved optimal effectiveness.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>We recommend, in first\u2010line treatment, the use of high\u2010dose PPIs in 14\u2010day triple therapy and in 10\u2010or 14\u2010day quadruple concomitant therapy in first\u2010line treatment, while standard\u2010dose PPIs would be sufficient in 10\u2010day bismuth quadruple therapies. On the other hand, in second\u2010line treatment, high\u2010dose PPIs would be more beneficial in 14\u2010day triple therapy with levofloxacin and amoxicillin or in 10\u2010day bismuth quadruple therapy either as a three\u2010in\u2010one single capsule or in the traditional scheme.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ueg2.12476","type":"journal-article","created":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T06:04:43Z","timestamp":1701756283000},"page":"122-138","source":"Crossref","is-referenced-by-count":33,"title":["Role of proton pump inhibitors dosage and duration in Helicobacter pylori<\/i> eradication treatment: Results from the European Registry on H. pylori<\/i> management"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9011-3695","authenticated-orcid":false,"given":"Manuel","family":"Pab\u00f3n\u2010Carrasco","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Hospital de Valme Sevilla Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alma","family":"Keco\u2010Huerga","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Hospital de Valme Sevilla Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6363-8752","authenticated-orcid":false,"given":"Manuel","family":"Castro\u2010Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Hospital de Valme Sevilla Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilaria Maria","family":"Saracino","sequence":"additional","affiliation":[{"name":"IRCCS AOU di Bologna Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Fiorini","sequence":"additional","affiliation":[{"name":"IRCCS AOU di Bologna Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dino","family":"Vaira","sequence":"additional","affiliation":[{"name":"IRCCS AOU di Bologna Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1ngeles","family":"P\u00e9rez\u2010A\u00edsa","sequence":"additional","affiliation":[{"name":"Agencia Sanitaria Costa del Sol Red de Investigaci\u00f3n en Servicios de Salud en Enfermedades Cr\u00f3nicas (REDISSEC) Marbella Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5616-4333","authenticated-orcid":false,"given":"Bojan","family":"Tepes","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology AM DC Rogaska Rogaska Slatina Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laimas","family":"Jonaitis","sequence":"additional","affiliation":[{"name":"Institute for Digestive Research Lithuanian University of Health Sciences Kaunas Lithuania"},{"name":"Department of Gastroenterology Lithuanian University of Health Sciences Kaunas Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irina","family":"Voynovan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology A.S. 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