根除幽门螺杆菌导致胃食管反流病 Joachim Labenz University of Bonn,Siegen,Germany 与对照组相比,胃食管反流病(GERD)患者很少感染幽门螺杆菌(H.pylori),提示H.pylori感染有保护作用。与之相反,根除H.pylori感染也许会导致GERD。在糜烂性反流性食管炎时,GERD的诊断是可靠的。但是当症状与内镜所见无关,特别是在没有考虑到其他上胃肠道疾病时,GERD的诊断是不可靠的。1997年一个大样本病例对照研 Eradication of Helicobacter pylori causes gastroesophageal reflux disease Joachim Labenz University of Bonn, Siegen, Germany GERD patients rarely infect H.pylori, suggesting that H.pylori Infection has a protective effect. In contrast, eradication of H. pylori infection may result in GERD. In the erosive reflux esophagitis, the diagnosis of GERD is reliable. However, the diagnosis of GERD is not reliable when symptoms are not associated with endoscopy, especially when no other upper GI disease is considered. A large sample of 1997 case-control study