Expert: Glen Aukerman, M.D. - 1/5/2010

Question
Dear Sir,
After 2 months of stomach pain and difficulty eliminating(not constipated),my doctor diagnosed me with h pylori.My stomach is swollen and I have pain on both sides under the ribs and near the kidneys(no kidney infection)Also my stomach makes loud noises.The doctor wants to put me on steroids,antibiotics and something else I don't remember.I tried to ask him for alternative therapies,but no success.So I have been taking oil of oregano extractP73 4drops 3 times a day and Aloe Vera juice 2oz 2 times daily.I have been taking those for 5 days now,but I see almost no relef except for easier passing of gas.Still have hard time eliminating and still have pain.Dull but it is there.I heard about turmeric and l glutamine,but I am not sure if I can take them together with the oregano or how much.Have you heard of successful eradicating of h pylori?How long should I take all these nutrients.Thank you so much for your time.
Sincerely,
Desi

Answer
While I know of no proven treatments other than conventional drugs, this is the world literature search for alternative therapies

1.Second Asia-Pacific Consensus Guidelines for Helicobacter pylori infection.

Fock KM, Katelaris P, Sugano K, Ang TL, Hunt R, Talley NJ, Lam SK, Xiao SD, Tan HJ, Wu CY, Jung HC, Hoang BH, Kachintorn U, Goh KL, Chiba T, Rani AA; Second Asia-Pacific Conference.

J Gastroenterol Hepatol. 2009 Oct;24(10):1587-600.
PMID: 19788600 [PubMed - indexed for MEDLINE]
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2.A systematic review of treating Helicobacter pylori infection with Traditional Chinese Medicine.

Lin J, Huang WW.

World J Gastroenterol. 2009 Oct 7;15(37):4715-9. Review.
PMID: 19787835 [PubMed - indexed for MEDLINE]
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3.Efficacy of triple therapy with a proton pump inhibitor, levofloxacin, and amoxicillin as first-line treatment to eradicate Helicobacter pylori.

Castro-Fernández M, Lamas E, Pérez-Pastor A, Pabón M, Aparcero R, Vargas-Romero J, Larraona JL, Romero-Gómez M.

Rev Esp Enferm Dig. 2009 Jun;101(6):395-8, 399-402. English, Spanish.
PMID: 19630462 [PubMed - indexed for MEDLINE]
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4.Antimicrobial activity of Artemisia douglasiana and dehydroleucodine against Helicobacter pylori.

Vega AE, Wendel GH, Maria AO, Pelzer L.

J Ethnopharmacol. 2009 Jul 30;124(3):653-5. Epub 2009 May 5.
PMID: 19422904 [PubMed - indexed for MEDLINE]
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5.Seven-day PPI-triple therapy with levofloxacin is very effective for Helicobacter pylori eradication.

Schrauwen RW, Janssen MJ, de Boer WA.

Neth J Med. 2009 Mar;67(3):96-101.
PMID: 19307680 [PubMed - indexed for MEDLINE]
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6.Meta-analysis: four-drug, three-antibiotic, non-bismuth-containing "concomitant therapy" versus triple therapy for Helicobacter pylori eradication.

Essa AS, Kramer JR, Graham DY, Treiber G.

Helicobacter. 2009 Apr;14(2):109-18.
PMID: 19298338 [PubMed - indexed for MEDLINE]
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7.Sequential therapy vs. standard triple therapies for Helicobacter pylori infection: a meta-analysis.

Tong JL, Ran ZH, Shen J, Xiao SD.

J Clin Pharm Ther. 2009 Feb;34(1):41-53.
PMID: 19125902 [PubMed - indexed for MEDLINE]
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8.H. pylori treatment: new wine in old bottles?

Vakil N.

Am J Gastroenterol. 2009 Jan;104(1):26-30. Review.
PMID: 19098845 [PubMed - indexed for MEDLINE]
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9.Bactericidal activity of medicinal plants, employed for the treatment of gastrointestinal ailments, against Helicobacter pylori.

Zaidi SF, Yamada K, Kadowaki M, Usmanghani K, Sugiyama T.

J Ethnopharmacol. 2009 Jan 21;121(2):286-91. Epub 2008 Nov 8.
PMID: 19041711 [PubMed - indexed for MEDLINE]
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10.Second-line levofloxacin-based triple schemes for Helicobacter pylori eradication.

Di Caro S, Franceschi F, Mariani A, Thompson F, Raimondo D, Masci E, Testoni A, La Rocca E, Gasbarrini A.

Dig Liver Dis. 2009 Jul;41(7):480-5. Epub 2008 Oct 30.
PMID: 18974025 [PubMed - indexed for MEDLINE]
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11.Phytoceuticals: mighty but ignored weapons against Helicobacter pylori infection.

Lee SY, Shin YW, Hahm KB.

J Dig Dis. 2008 Aug;9(3):129-39. Review.
PMID: 18956590 [PubMed - indexed for MEDLINE]
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12.Barrett's esophagus in 2008: an update.

Wood RK, Yang YX.

Keio J Med. 2008 Sep;57(3):132-8. Review.
PMID: 18854665 [PubMed - indexed for MEDLINE]
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13."Rescue" regimens after Helicobacter pylori treatment failure.

Gisbert JP.

World J Gastroenterol. 2008 Sep 21;14(35):5385-402. Review.
PMID: 18803350 [PubMed - indexed for MEDLINE]
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14.Treatment of Helicobacter pylori in surgical practice: a randomised trial of triple versus quadruple therapy in a rural district general hospital.

Ching SS, Sabanathan S, Jenkinson LR.

World J Gastroenterol. 2008 Jun 28;14(24):3855-60.
PMID: 18609709 [PubMed - indexed for MEDLINE]
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15.The alpha and beta classes carbonic anhydrases from Helicobacter pylori as novel drug targets.

Nishimori I, Onishi S, Takeuchi H, Supuran CT.

Curr Pharm Des. 2008;14(7):622-30. Review.
PMID: 18336307 [PubMed - indexed for MEDLINE]
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16.Interpretation of the 13C-urea breath test in the choice of second- and third-line eradication of Helicobacter pylori infection.

Buzás GM, Széles I.

J Gastroenterol. 2008;43(2):108-14. Epub 2008 Feb 29.
PMID: 18306984 [PubMed - indexed for MEDLINE]
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17.[Changing patterns of antibiotic resistance of Helicobacter pylori in patients with peptic ulcer disease]

Bang SY, Han DS, Eun CS, Kim JE, Ahn SB, Sohn JH, Jeon YC, Kang JO.

Korean J Gastroenterol. 2007 Dec;50(6):356-62. Korean.
PMID: 18159172 [PubMed - indexed for MEDLINE]
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18.Treatment of Helicobacter pylori.

Egan BJ, Katicic M, O'Connor HJ, O'Morain CA.

Helicobacter. 2007 Oct;12 Suppl 1:31-7. Review.
PMID: 17727458 [PubMed - indexed for MEDLINE]
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19.The effectiveness of rifabutin triple therapy for patients with difficult-to-eradicate Helicobacter pylori in clinical practice.

Van der Poorten D, Katelaris PH.

Aliment Pharmacol Ther. 2007 Dec;26(11-12):1537-42. Epub 2007 Sep 28.
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20.[Morphological observation on gastric mucosa membrane of patients with gastric ulcer treated with combined use of Qifang Weitong Powder and omeprazole]

Deng C, Luo WS, Li GX.

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2007 Jul;27(7):610-2. Chinese.
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21.Gastrooesophageal reflux disease.

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Best Pract Res Clin Gastroenterol. 2007;21(4):609-31. Review.
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22.Effect of cranberry juice on eradication of Helicobacter pylori in patients treated with antibiotics and a proton pump inhibitor.

Shmuely H, Yahav J, Samra Z, Chodick G, Koren R, Niv Y, Ofek I.

Mol Nutr Food Res. 2007 Jun;51(6):746-51.
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23.Gastroduodenal diseases of childhood.

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24.Levofloxacin-based triple therapy in first-line treatment for Helicobacter pylori eradication.

Nista EC, Candelli M, Zocco MA, Cremonini F, Ojetti V, Finizio R, Spada C, Cammarota G, Gasbarrini G, Gasbarrini A.

Am J Gastroenterol. 2006 Sep;101(9):1985-90.
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25.Triple, standard quadruple and ampicillin-sulbactam-based quadruple therapies for H. pylori eradication: a comparative three-armed randomized clinical trial.

Mirbagheri SA, Hasibi M, Abouzari M, Rashidi A.

World J Gastroenterol. 2006 Aug 14;12(30):4888-91.
PMID: 16937475 [PubMed - indexed for MEDLINE]
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26.Combinations containing amoxicillin-clavulanate and tetracycline are inappropriate for Helicobacter pylori eradication despite high in vitro susceptibility.

Cheon JH, Kim SG, Kim JM, Kim N, Lee DH, Kim JS, Jung HC, Song IS.

J Gastroenterol Hepatol. 2006 Oct;21(10):1590-5.
PMID: 16928222 [PubMed - indexed for MEDLINE]
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27.[The efficacy of levofloxacin based triple therapy for Helicobacter pylori eradication]

Lee JH, Hong SP, Kwon CI, Phyun LH, Lee BS, Song HU, Ko KH, Hwang SG, Park PW, Rim KS, Kim S.

Korean J Gastroenterol. 2006 Jul;48(1):19-24. Korean.
PMID: 16861877 [PubMed - indexed for MEDLINE]
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28.[Comparative study on Jinghua Weikang Capsule and famotidine in treating duodenal ulcer]

Ji F, Chen JY, Chen JX.

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2006 Apr;26(4):357-60. Chinese.
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29.Systematic review: are probiotics useful in controlling gastric colonization by Helicobacter pylori?

Gotteland M, Brunser O, Cruchet S.

Aliment Pharmacol Ther. 2006 Apr 15;23(8):1077-86. Review.
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30.A factorial trial including garlic supplements assesses effect in reducing precancerous gastric lesions.

Gail MH, You WC.

J Nutr. 2006 Mar;136(3 Suppl):813S-815S.
PMID: 16484571 [PubMed - indexed for MEDLINE]
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31.Tetracycline, metronidazole and amoxicillin-metronidazole combinations in proton pump inhibitor-based triple therapies are equally effective as alternative therapies against Helicobacter pylori infection.

Matsushima M, Suzuki T, Kurumada T, Watanabe S, Watanabe K, Kobayashi K, Deguchi R, Masui A, Takagi A, Shirai T, Muraoka H, Kobayashi I, Mine T.

J Gastroenterol Hepatol. 2006 Jan;21(1 Pt 2):232-6.
PMID: 16460479 [PubMed - indexed for MEDLINE]
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32.Management of dyspepsia and peptic ulcer disease.

Ryan SW.

Altern Ther Health Med. 2005 Sep-Oct;11(5):26-9; quiz 30. Review.
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33.Non-antibiotic therapies for Helicobacter pylori infection.

Kamiji MM, de Oliveira RB.

Eur J Gastroenterol Hepatol. 2005 Sep;17(9):973-81. Review.
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34.Functional dyspepsia pathogenesis and therapeutic options--implications for management.

Smith ML.

Dig Liver Dis. 2005 Aug;37(8):547-58. Review.
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35.Evaluation of the antimicrobial effects of several isothiocyanates on Helicobacter pylori.

Haristoy X, Fahey JW, Scholtus I, Lozniewski A.

Planta Med. 2005 Apr;71(4):326-30.
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36.[The age aspect of treatment of patient with ulcer of gastroduodenal zone]

Butov MA, Alebastrov AP, Kuznetsov PS, Shirokova IV.

Adv Gerontol. 2004;14:96-100. Russian.
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37.[Long-term therapeutic effect of triple therapy consisted of omeperazole, clarithromycin and amoxycillin in children with Helicobacter pylori infection and approach to re-treatment after failure of the treatment]

Chen XX, Ou BY, Wu XY, Zhou XL, Tang HF, Qü YP, Shang SQ.

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38.Beta-lactamase inhibitor enhances Helicobacter pylori eradication rate.

Ojetti V, Migneco A, Zocco MA, Nista EC, Gasbarrini G, Gasbarrini A.

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Butov MA, Alebastrov AP, Kuznetsov PS, Karpova EIu.

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40.Second-line treatment for failure to eradicate Helicobacter pylori: a randomized trial comparing four treatment strategies.

Lamouliatte H, Mégraud F, Delchier JC, Bretagne JF, Courillon-Mallet A, De Korwin JD, Fauchčre JL, Labigne A, Fléjou JF, Barthelemy P; Multicentre Study Group.

Aliment Pharmacol Ther. 2003 Oct 15;18(8):791-7.
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41.Antimicrobial activity of essential oils against Helicobacter pylori.

Ohno T, Kita M, Yamaoka Y, Imamura S, Yamamoto T, Mitsufuji S, Kodama T, Kashima K, Imanishi J.

Helicobacter. 2003 Jun;8(3):207-15.
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42.Triple vs. quadruple therapy for treating Helicobacter pylori infection: a meta-analysis.

Gené E, Calvet X, Azagra R, Gisbert JP.

Aliment Pharmacol Ther. 2003 May 1;17(9):1137-43.
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43.Antibacterial effect of Kampo herbal formulation Hochu-ekki-to (Bu-Zhong-Yi-Qi-Tang) on Helicobacter pylori infection in mice.

Yan X, Kita M, Minami M, Yamamoto T, Kuriyama H, Ohno T, Iwakura Y, Imanishi J.

Microbiol Immunol. 2002;46(7):475-82.
PMID: 12222933 [PubMed - indexed for MEDLINE]
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44.Alternative and rescue treatment regimens for Helicobacter pylori eradication.

Xia HH, Yu Wong BC, Talley NJ, Lam SK.

Expert Opin Pharmacother. 2002 Sep;3(9):1301-11. Review. Erratum in: Expert Opin Pharmacother. 2992 Oct;3(10):1539. Expert Opin Pharmacother. 2002 Dec;3(12):1803.
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45.[Helicobacter pylori--2002]

Treiber G, Malfertheiner P.

Praxis (Bern 1994). 2002 May 1;91(18):773-8. German.
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46.Sulforaphane inhibits extracellular, intracellular, and antibiotic-resistant strains of Helicobacter pylori and prevents benzo[a]pyrene-induced stomach tumors.

Fahey JW, Haristoy X, Dolan PM, Kensler TW, Scholtus I, Stephenson KK, Talalay P, Lozniewski A.

Proc Natl Acad Sci U S A. 2002 May 28;99(11):7610-5.
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47.Amoxicillin/tetracycline combinations are inadequate as alternative therapies for Helicobacter pylori infection.

Perri F, Festa V, Merla A, Quitadamo M, Clemente R, Andriulli A.

Helicobacter. 2002 Apr;7(2):99-104.
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48.Current concepts in the management of Helicobacter pylori infection--the Maastricht 2-2000 Consensus Report.

Malfertheiner P, Mégraud F, O'Morain C, Hungin AP, Jones R, Axon A, Graham DY, Tytgat G; European Helicobacter Pylori Study Group (EHPSG).

Aliment Pharmacol Ther. 2002 Feb;16(2):167-80. Review.
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49.The combination of omeprazole, amoxycillin, and clarithromycin eradicates Helicobacter pylori in 95% of patients---7 days of therapy is as good as 10 days.

Ching CK, Chan YK, Ng WC.

Hong Kong Med J. 1998 Mar;4(1):7-10.
PMID: 11832545 [PubMed - as supplied by publisher]
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50.A pilot study to determine the effectiveness of garlic oil capsules in the treatment of dyspeptic patients with Helicobacter pylori.

McNulty CA, Wilson MP, Havinga W, Johnston B, O'Gara EA, Maslin DJ.

Helicobacter. 2001 Sep;6(3):249-53.
PMID: 11683929 [PubMed - indexed for MEDLINE]
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51.Helicobacter pylori eradication: are there alternatives to antibiotics?

Gaby AR.

Altern Med Rev. 2001 Aug;6(4):355-66. Review.
PMID: 11578252 [PubMed - indexed for MEDLINE]
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52.Review article: alternative antibacterial agents for Helicobacter pylori eradication.

Guslandi M.

Aliment Pharmacol Ther. 2001 Oct;15(10):1543-7. Review.
PMID: 11563992 [PubMed - indexed for MEDLINE]
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53.[Treatment of Helicobacter pylori infection. Whom to treat and with what?]

Dehesa-Violante M.

Rev Gastroenterol Mex. 2000 Oct-Dec;65(4 Suppl 2):50-5. Review. Spanish.
PMID: 11464622 [PubMed - indexed for MEDLINE]
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54.Ranitidine bismuth citrate-based triple therapies after failure of the standard 'Maastricht triple therapy': a promising alternative to the quadruple therapy?

Perri F, Villani MR, Quitadamo M, Annese V, Niro GA, Andriulli A.

Aliment Pharmacol Ther. 2001 Jul;15(7):1017-22.
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55.Efficacy of two one-week rabeprazole/levofloxacin-based triple therapies for Helicobacter pylori infection.

Cammarota G, Cianci R, Cannizzaro O, Cuoco L, Pirozzi G, Gasbarrini A, Armuzzi A, Zocco MA, Santarelli L, Arancio F, Gasbarrini G.

Aliment Pharmacol Ther. 2000 Oct;14(10):1339-43.
PMID: 11012480 [PubMed - indexed for MEDLINE]
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56.[Treatment of Helicobacter pylori infections]

Hentschel E.

Acta Med Austriaca. 2000;27(4):104-7. Review. German.
PMID: 10989677 [PubMed - indexed for MEDLINE]
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57.Review article: treatment of Helicobacter pylori infection with ranitidine bismuth citrate- or proton pump inhibitor-based triple therapies.

Van Oijen AH, Verbeek AL, Jansen JB, De Boer WA.

Aliment Pharmacol Ther. 2000 Aug;14(8):991-9. Review.
PMID: 10930892 [PubMed - indexed for MEDLINE]
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58.Controlled trial of the effect of cinnamon extract on Helicobacter pylori.

Nir Y, Potasman I, Stermer E, Tabak M, Neeman I.

Helicobacter. 2000 Jun;5(2):94-7.
PMID: 10849058 [PubMed - indexed for MEDLINE]
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59.Challenges to therapy in the future.

O'Morain C, Montague S.

Helicobacter. 2000;5 Suppl 1:S23-6; discussion S27-31. Review.
PMID: 10828751 [PubMed - indexed for MEDLINE]
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60.Rifabutin-based 'rescue therapy' for Helicobacter pylori infected patients after failure of standard regimens.

Perri F, Festa V, Clemente R, Quitadamo M, Andriulli A.

Aliment Pharmacol Ther. 2000 Mar;14(3):311-6.
PMID: 10735924 [PubMed - indexed for MEDLINE]
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61.Helicobacter pylori eradication with dual and low-dose triple therapy in patients with liver cirrhosis.

Zullo A, Rinaldi V, Meddi P, Winn S, Moscatelli R, Attili AF.

Ital J Gastroenterol Hepatol. 1999 Dec;31(9):831-5.
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62.A practical approach to patients with refractory Helicobacter pylori infection, or who are re-infected after standard therapy.

Peitz U, Hackelsberger A, Malfertheiner P.

Drugs. 1999 Jun;57(6):905-20. Review.
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63.Evaluation of a new ultrashort triple therapy for Helicobacter pylori disease.

Trevisani L, Sartori S, Galvani F, Ruina M, Caselli M, Verdianelli G, Abbasciano V.

Aliment Pharmacol Ther. 1998 Dec;12(12):1269-72.
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64.Helicobacter pylori: rational management options.

Peura D.

Am J Med. 1998 Nov;105(5):424-30. Review.
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65.Urea breath tests in the management of Helicobacter pylori infection.

Logan RP.

Gut. 1998 Jul;43 Suppl 1:S47-50. Review.
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66.Antibiotic resistance in Helicobacter pylori infection.

Mégraud F.

Br Med Bull. 1998;54(1):207-16. Review.
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67.Therapy of H. pylori infection.

Bazzoli F, Pozzato P.

J Physiol Pharmacol. 1997 Sep;48 Suppl 4:39-46. Review.
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68.One-week therapy for Helicobacter pylori. A randomized trial of two treatment regimens.

Scheiman JM, Chey WD, Behler EM, Crause I, Elta GH.

J Clin Gastroenterol. 1996 Oct;23(3):170-3.
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69.Cost-effectiveness of Helicobacter pylori eradication therapy in duodenal ulcer disease.

Jönsson B.

Scand J Gastroenterol Suppl. 1996;215:90-5.
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70.Cost-effectiveness of Helicobacter pylori eradication for the long-term management of duodenal ulcer in Canada.

O'Brien B, Goeree R, Mohamed AH, Hunt R.

Arch Intern Med. 1995 Oct 9;155(18):1958-64.
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71.Eradication of Helicobacter pylori.

O'Connor HJ.

Eur J Gastroenterol Hepatol. 1994 Dec;6 Suppl 1:S113-9. Review.
PMID: 7735927 [PubMed - indexed for MEDLINE]
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72.Triple therapy with sucralfate is not effective in eradicating Helicobacter pylori and does not reduce duodenal ulcer relapse rates.

Pedrazzoli J Jr, Magalhăes AF, Ferraz JG, Trevisan M, De Nucci G.

Am J Gastroenterol. 1994 Sep;89(9):1501-4.
PMID: 8079927 [PubMed - indexed for MEDLINE]
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73.[Eradication of metronidazole-resistant Helicobacter pylori: is omeprazole/amoxicillin a therapeutic alternative?]

Zala G, Wirth HP, Bauer S, Wüst J, Flury R, Meyenberger C, Ammann R.

Schweiz Med Wochenschr. 1994 Aug 9;124(31-32):1385-90. German.
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74.Impact of metronidazole resistance on the eradication of Helicobacter pylori.

Noach LA, Langenberg WL, Bertola MA, Dankert J, Tytgat GN.

Scand J Infect Dis. 1994;26(3):321-7.
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75.Short report: a non-metronidazole triple therapy for eradication of Helicobacter pylori infection--tetracycline, amoxicillin, bismuth.

Graham DY, Lew GM, Ramirez FC, Genta RM, Klein PD, Malaty HM.

Aliment Pharmacol Ther. 1993 Feb;7(1):111-3.
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