消化器内視鏡の進歩:Progress of Digestive Endoscopy
Online ISSN : 2189-0021
Print ISSN : 0389-9403
臨床研究
Helicobacter pylori除菌治療におけるAmoxicillinおよびClarithromycinの比較検討
小山 博成木 行彦西野 執有木 寿史北條 裕中谷 尚登長山 徹山田 秀一進藤 彦二岩崎 格瓜田 純久小島 保明吉永 淑子大塚 幸雄三浦 妙太東 陽二
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1996 年 49 巻 p. 156-157

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We evaluated 13C-urea breath test (UBT) in a diagnosis of Helicobacter pylori (HP) after treatment with lansoprazole and clarithromycin (CAM) or amoxicillin (AMPC) . Seventy three patients inclused 35 gastric ulcer, 15 duodenal ulcer and 73 chronic gastritis, treated for 14 days with 30mg of lansoprazole, 600mg of CAM or 2000mg of AMPC in a day. Antral, lower body and upper body biopsy samples were taken for culture and histology. We evaluated 73 chronic gastritis with Sydney classification.
Eradication was defined as the absence of HP in all speciments. HP was eradicated by treatment in 63.0% (46/73) , by CAM/lansoprazole in 84.3% (16/19) and by AMPC/lansoprazole in 55.5% (30/54) . Severity of the side effects did not occurred. It was valid that AMPC/lansoprazole were eradicated rather than CAM/lansoprazole. Eradication of HP with lansoprazole and CAM or AMPC provided a safe and effective, and 13C-UBT examination were useful in observing the eradication of HP.

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© 1996 一般社団法人 日本消化器内視鏡学会 関東支部
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