Cleveland Clinic Journal of Medicine

Testing for Helicobacter pylori:
Why It Still Matters, How It Has Evolved

Supplement 2 to Volume 72, May 2005

Roundtable Moderator and Supplement Editor:
GARY FALK, MD
Department of Gastroenterology & Hepatology
Cleveland Clinic Foundation

Although infection with Helicobacter pylori is no longer the hot topic it was in the 1990s, it remains clinically relevant in primary care, particularly in light of the continued significant influx of immigrants to the United States.

To update primary care physicians on recent changes in the epidemiology and diagnosis of H pylori infection, the Cleveland Clinic Journal of Medicine convened a roundtable discussion in January 2005 among a panel of physicians representing gastroenterology, primary care, and managed care perspectives.

The session began with overviews of the current clinical relevance of H pylori and noninvasive methods of H pylori testing, reflected in the two short review articles here that set the stage for the roundtable discussion that follows. The tables and figures throughout this supplement were developed by consensus of the roundtable panelists (listed below).

Supplement
May
2005

Supplement 2
to Volume 72

This supplement is supported by an unrestricted educational grant from Meridian Bioscience, Inc.

Guidelines for grant-supported supplements to the Cleveland Clinic Journal of Medicine

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CONTENTS

Editor and Panelist Disclosures
REVIEW Helicobacter pylori: Why it still matters in 2005 M. Brian Fennerty, MD
REVIEW *How to test for Helicobacter pylori* in 2005** Nimish Vakil, MD, and A. Mark Fendrick, MD
ROUNDTABLE DISCUSSION *Pitfalls, pearls, and practicalities in the diagnosis of Helicobacter pylori* infection** Gary Falk, MD; Leonard Ehrlich, MD; A. Mark Fendrick, MD; M. Brian Fennerty, MD; Ben Gold, MD; Nimish Vakil, MD; Derek van Amerongen, MD, MS; and David Wyatt, MD
ROUNDTABLE PANELISTS
Gary Falk, MD Department of Gastroenterology & Hepatology Cleveland Clinic Foundation Cleveland, OH
Leonard Ehrlich, MD George Washington University School of Medicine Washington, DC
A. Mark Fendrick, MD Division of General Medicine University of Michigan Health System Ann Arbor, MI
M. Brian Fennerty, MD Division of Gastroenterology Oregon Health & Science University Portland, OR
Ben Gold, MD Division of Pediatric Gastroenterology and Nutrition Emory University School of Medicine Atlanta, GA
Nimish Vakil, MD University of Wisconsin Medical School and Marquette College of Health Sciences Milwaukee, WI
Derek van Amerongen, MD, MS Chief Medical Officer Humana Health Plan of Ohio Cincinnati, OH
David Wyatt, MD Eagles Landing Family Practice McDonough, GA
Copyright © 2005 The Cleveland Clinic Foundation. The statements and opinions expressed in this supplement to the Cleveland Clinic Journal of Medicine are those of the authors and not necessarily of The Cleveland Clinic Foundation, its Board of Trustees, or Meridian Bioscience, Inc. *The Cleveland Clinic Journal of Medicine* (ISSN 0891-1150) is published 12 times yearly by the Cleveland Clinic Foundation.** Subscription rates: U.S. and possessions: personal $103; institutional $129; single copy/back issue $18. Foreign: $129; single copy/back issue $18. Institutional (multiple-reader rate) applies to libraries, schools, hospitals, and federal, commercial, and private institutions and organizations. Individual subscriptions must be in the names of, billed to, and paid by individuals. Postmaster address changes: Cleveland Clinic Journal of Medicine, NA32, 9500 Euclid Avenue, Cleveland, OH 44195. Subscription orders, editorial, reprint, and production offices (same address): Phone (216) 444-2661; Fax (216) 444-9385; E-mail, ccjm@ccf.org; World Wide Web address: http://www.ccjm.org Printed in USA.