June 2010. Volume 6. Number 2

Helicobacter pylori does not seem to play an important role in gastrointestinal disease in children

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Spee LA, Madderom MB, Pijpers M, van Leeuwen Y, Berger MY. Association Between Helicobacter pylori and Gastrointestinal Symptoms in Children. Pediatrics. 2010;125;e651-69
Reviewers: Carreazo Pariasca NY1, Cuervo Valdés JJ2.
1Hospital de Emergencias Pediátricas. Lima. Perú.
2CS Ciudad Jardín. Badajoz. España.
Correspondence: Nilton Yhuri Carreazo Pariasca. Email: yhuroc@gmail.com
Acceptance date: 09/06/2010
Publication date: 21/06/2010

Abstract

Authors’s conclusions: we found no association between recurrent abdominal pain and Helicobacter pylori infection in children and conflicting evidence for an association between epigastric pain and H. pylori infection. We found evidence for an association between unspecified abdominal pain but could not confirm this finding in children seen in primary care.

Reviewer’s commentary: this review doesn't seem to support initial testing for H. pylori in children with recurrent abdominal pain who are attended in primary care. Nevertheless, it would be of interest to establish a clinical decision rule to establish in which specific situations H. pylori infection should be suspected in order to make a faster and more accurate diagnosis.

How to cite this article

Carreazo Pariasca NY, Cuervo Valdés JJ. El Helicobacter pylori no parece jugar un papel importante en la patología gastrointestinal en la infancia. Evid Pediatr. 2010;6:31.

AVC | Critically appraised articles

Spee LA, Madderom MB, Pijpers M, van Leeuwen Y, Berger MY. Association Between Helicobacter pylori and Gastrointestinal Symptoms in Children. Pediatrics. 2010;125;e651-69
Reviewers: Carreazo Pariasca NY1, Cuervo Valdés JJ2.
1Hospital de Emergencias Pediátricas. Lima. Perú.
2CS Ciudad Jardín. Badajoz. España.
Correspondence: Nilton Yhuri Carreazo Pariasca. Email: yhuroc@gmail.com
Acceptance date: 09/06/2010
Publication date: 21/06/2010

How to cite this article

Carreazo Pariasca NY, Cuervo Valdés JJ. El Helicobacter pylori no parece jugar un papel importante en la patología gastrointestinal en la infancia. Evid Pediatr. 2010;6:31.

References

  1. Altman DG. Systematic reviews of evaluations of prognostic variables. BMJ. 2001;323:224-8.
  2. Apley J, Naish N. Recurrent abdominal pains: a field survey of 1,000 school children. Arch Dis Child. 1958;33:165-70.
  3. Macarthur C, Saunders N, Feldman W. Helicobacter pylori, gastroduodenal disease, and recurrent abdominal pain in children. JAMA. 1995;273:729-34.

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Molina Arias, M. Martinez-Ojinaga E. Helicobacter pylori. Tras la tempestad, ¿vendrá la calma? Evid Pediatr. 2010;6:26.
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