{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T10:15:28Z","timestamp":1787048128488,"version":"build-2736575974"},"reference-count":47,"publisher":"Baishideng Publishing Group Inc.","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Gastroenterol"],"abstract":"<jats:p>Yu et al \u2019s study in the World Journal of Gastroenterology  (2023) introduced a novel regimen of Vonoprazan-amoxicillin dual therapy combined with Saccharomyces boulardii  (S. boulardii ) for the rescue therapy against Helicobacter pylori  (H. pylori ),  a pathogen responsible for peptic ulcers and gastric cancer. Vonoprazan is a potassium-competitive acid blocker renowned for its rapid and long-lasting acid suppression, which is minimally affected by mealtime. Compared to proton pump inhibitors, which bind irreversibly to cysteine residues in the H+\/K+-ATPase pump, Vonoprazan competes with the K+ ions, prevents the ions from binding to the pump and blocks acid secretion. Concerns with increasing antibiotic resistance, effects on the gut microbiota, patient compliance, and side effects have led to the advent of a dual regimen for H. pylori . Previous studies suggested that S. boulardii  plays a role in stabilizing the gut barrier which improves H. pylori  eradication rate. With an acceptable safety profile, the dual-adjunct regimen was effective regardless of prior treatment failure and antibiotic resistance profile, thereby strengthening the applicability in clinical settings. Nonetheless, S. boulardii  comes in various formulations and dosages, warranting further exploration into the optimal dosage for supplementation in rescue therapy. Additionally, larger, randomized, double-blinded controlled trials are warranted to confirm these promising results.<\/jats:p>","DOI":"10.3748\/wjg.v30.i10.1280","type":"journal-article","created":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T12:50:24Z","timestamp":1710420624000},"page":"1280-1286","source":"Crossref","is-referenced-by-count":5,"title":["Vonoprazan-amoxicillin dual regimen with <i>Saccharomyces boulardii<\/i> as a rescue therapy for <i>Helicobacter pylori<\/i>: Current perspectives and implications"],"prefix":"10.3748","volume":"30","author":[{"given":"Valerie Josephine","family":"Dirjayanto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Audrey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel Martin","family":"Simadibrata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2060","published-online":{"date-parts":[[2024,3,14]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v29.i20.3133"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1007\/s40265-015-0368-z"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000001735"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0097688"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1177\/1756283X17745776"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v10.i19.6349"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1111\/hel.12124"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1111\/imj.15640"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2022.05.055"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.12669\/pjms.38.4.5436"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.3390\/antibiotics12020346"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.3390\/cancers11010116"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.14456"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1016\/j.genrep.2022.101499"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1111\/apm.12237"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2009.04102.x"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.3389\/fcimb.2022.903002"},{"key":"B18","unstructured":"Zojaji H, Ghobakhlou M, Rajabalinia H, Ataei E, Jahani Sherafat S, Moghimi-Dehkordi B, Bahreiny R. 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