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Helicobacter pylori Eradication on the Prevention of Metachronous Lesions after Endoscopic Resection of Gastric Neoplasm: A Meta-Analysis

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  • Da Hyun Jung
  • Jie-Hyun Kim
  • Hyun Soo Chung
  • Jun Chul Park
  • Sung Kwan Shin
  • Sang Kil Lee
  • Yong Chan Lee

Abstract

Background: There is controversy about the effect of Helicobacter pylori (H. pylori) eradication on the prevention of metachronous gastric cancer after endoscopic resection (ER). Aims: The aim of this study was to systematically evaluate the effect of H. pylori eradication on the prevention of metachronous gastric lesions after ER of gastric neoplasms. Methods: We performed a systematic search of PubMed, EMBASE, the Cochrane Library, and MEDLINE that encompassed studies through April 2014. Our meta-analysis consisted of 10 studies, which included 5881 patients who underwent ER of gastric neoplasms. Results: When we compared the incidence of metachronous lesions between H. pylori-eradicated and non-eradicated groups, H. pylori eradication significantly lowered the risk of metachronous lesions after ER of gastric neoplasms (five studies, OR = 0.392, 95% CI 0.259 – 0.593, P

Suggested Citation

  • Da Hyun Jung & Jie-Hyun Kim & Hyun Soo Chung & Jun Chul Park & Sung Kwan Shin & Sang Kil Lee & Yong Chan Lee, 2015. "Helicobacter pylori Eradication on the Prevention of Metachronous Lesions after Endoscopic Resection of Gastric Neoplasm: A Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-10, April.
    • Handle: RePEc:plo:pone00:0124725
    DOI: 10.1371/journal.pone.0124725
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