Efficacy of 7 day lansoprazole-based triple therapy for Helicobacter pylori infection in elderly patients

Alberto Pilotto, Marilisa Franceschi, Gioacchino Leandro, Loredana Bozzola, Antonio Fortunato, Mario Rassu, Salvatore Meli, Giuliano Soffiati, Mariuccia Scagnelli, Francesco Di Mario, Gianni Valerio

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The prevalence of Helicobacter pylori increases with age. However, data regarding the effects of anti-H. pylori treatments in the elderly are very scarce. Methods: To evaluate the effect of three lansoprazole-based, 7 day, triple-therapy regimens on H. pylori eradication rates, symptomatology, chronic gastritis activity and serological markers of H. pylori infection in elderly subjects, we studied 150 symptomatic patients over 60 years of age with H. pylori-positive duodenal ulcer (DU, n = 34), gastric ulcer (GU, n = 19) or chronic gastritis (CG, n = 97). Patients were consecutively treated with one of the following regimens: (A) lansoprazole (LNS) 30 mg b.i.d. + clarithromycin (CLR) 250 mg b.i.d.+ metronidazole (MTR) 250 mg q.i.d.; (B) LNS 30 mg b.i.d. + amoxycillin (AMOX) 1 g b.i.d. + MTR 250 mg q.i.d.; and (C) LNS 30 mg b.i.d. + CLR 250 mg b.i.d. + AMOX 1 g b.i.d. Results: Two months after therapy, the eradication rates of the three treatments, expressed using both intention-to-treat and per-protocol analyses were, respectively; group A, 86 and 91.5%; group B, 80 and 87%; group C, 82 and 89.1%. After therapy, a significant reduction in epigastric pain (P <0.001), heartburn (P=0.02), dyspepsia (P<0.001) and vomiting (P

Original languageEnglish
Pages (from-to)468-475
Number of pages8
JournalJournal of Gastroenterology and Hepatology
Volume14
Issue number5
DOIs
Publication statusPublished - 1999

Keywords

  • Amoxycillin
  • Chronic gastritis
  • Clarithromycin
  • Elderly
  • Helicobacter pylori infection
  • Lansoprazole
  • Metronidazole
  • Peptic ulcer
  • Therapy

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology

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