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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
114
H. pylori eradication therapy
H. pylori eradication therapy
H. pylori eradication therapy
Helicobacter pylori eradication rate
C13-UBT to confirm the H. pylori eradication
Time frame: 1-4 months after eradication therapy
Acute inflammatory score
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
Time frame: 1-4 weeks after gastric tissue obtained by upper endoscopy
Chronic inflammatory score
Chronic inflammatory score (CIS) can be assessed by the sum of these five pathologic tissues
Time frame: 1-4 weeks after gastric tissue obtained by upper endoscopy
H. pylori density score
H. pylori density score (HPDS) can be assessed by the sum of these five pathologic tissues
Time frame: 1-4 weeks after gastric tissue obtained by upper endoscopy
Intestinal metaplasia
Presence of intestinal metaplasia can be evaluated from these five pathologic tissues
Time frame: 1-4 weeks after gastric tissue obtained by upper endoscopy
Spasmolytic polypeptide expressing metaplasia
Presence of spasmolytic polypeptide expressing metaplasia can be evaluated from these five pathologic tissues by special TFF-2 stains
Time frame: 1-4 weeks after gastric tissue obtained by upper endoscopy
H. pylori resistance panel
E-test evaluation for antibiotic (amoxicillin, metronidazole, clarithromycin, tetracycline and levofloxacin) resistance
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H. pylori eradication therapy
H. pylori eradication therapy
Time frame: 1-4 weeks after H. pylori culture obtained by upper endoscopy