一、食管反流性食管炎 (GERD)与 Barrett食管的问题 ,如同欧美之在上消化道病中最受重视一样 ,在日本渐亦倍受关注。幽门螺杆菌 (HP)感染并不多见于 GERD这一点 ,已为包括日本在内之各国所公认 ,特别是 Cag A(+ )者发生重症型或 Barrett食管、腺癌的机率不高 ,还有指出 HP感染 First, the esophageal reflux esophagitis (GERD) and Barrett’s esophagus, as Europe and the United States in the upper gastrointestinal disease as the most attention, in Japan is also getting more attention. Helicobacter pylori (HP) infection is not common in GERD this point, has been recognized in all countries, including Japan, especially Cag A (+) who have severe or Barrett esophageal, adenocarcinoma is not high, there are Identify HP infection