Helicobacter Pylori Infection
Conditions
Keywords
Helicobacter pylori
Brief summary
The study aims to evaluate H. pylori eradication rate in diabetic patients by using novel 10-day levofloxacin-based concomitant therapy compared with conventional 10-day sequential therapy.
Interventions
H. pylori eradication therapy
H. pylori eradication therapy
H. pylori eradication therapy
H. pylori eradication therapy
H. pylori eradication therapy
Sponsors
Study design
Eligibility
Inclusion criteria
* Diabetic patients with Helicobacter pylori infection
Exclusion criteria
* Pregnancy or physically poor performance status * Patients with contraindication for upper endoscopy * Severe coagulopathy for endoscopic biopsy * Chronic kidney disease (eGFR \< 50) or end stage renal disease * Known allergy to interventional drugs * Previous eradication failure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Helicobacter pylori eradication rate | 1-4 months after eradication therapy | C13-UBT to confirm the H. pylori eradication |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Chronic inflammatory score | 1-4 weeks after gastric tissue obtained by upper endoscopy | Chronic inflammatory score (CIS) can be assessed by the sum of these five pathologic tissues |
| H. pylori density score | 1-4 weeks after gastric tissue obtained by upper endoscopy | H. pylori density score (HPDS) can be assessed by the sum of these five pathologic tissues |
| Acute inflammatory score | 1-4 weeks after gastric tissue obtained by upper endoscopy | Gastric tissue obtained from antrum (2 pieces), body (2 pieces) and cardia (1 piece) were scoring by modified Sydney system and specific staining. Acute inflammatory score (AIS) can be assessed by the sum of these five pathologic tissues |
| Spasmolytic polypeptide expressing metaplasia | 1-4 weeks after gastric tissue obtained by upper endoscopy | Presence of spasmolytic polypeptide expressing metaplasia can be evaluated from these five pathologic tissues by special TFF-2 stains |
| H. pylori resistance panel | 1-4 weeks after H. pylori culture obtained by upper endoscopy | E-test evaluation for antibiotic (amoxicillin, metronidazole, clarithromycin, tetracycline and levofloxacin) resistance |
| Intestinal metaplasia | 1-4 weeks after gastric tissue obtained by upper endoscopy | Presence of intestinal metaplasia can be evaluated from these five pathologic tissues |