Different antibiotic susceptibility between antrum and corpus of the stomach, a possible reason for treatment failure of Helicobacter pylori infection

doi:10.3748/wjg.v20.i43.16245

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Nov 21, 2014; 20(43): 16245-16251
Published online Nov 21, 2014. doi: 10.3748/wjg.v20.i43.16245

Different antibiotic susceptibility between antrum and corpus of the stomach, a possible reason for treatment failure of Helicobacter pylori infection

Michael Selgrad, Ina Tammer, Cosima Langner, Jan Bornschein, Julia Meißle, Arne Kandulski, Mariya Varbanova, Thomas Wex, Dirk Schlüter, Peter Malfertheiner

Michael Selgrad, Cosima Langner, Jan Bornschein, Julia Meißle, Arne Kandulski, Mariya Varbanova, Thomas Wex, Peter Malfertheiner, Department of Gastroenterology, Hepatology and Infectious Diseases, Otto-von-Guericke-University of Magdeburg, 39120 Magdeburg, Germany

Ina Tammer, Dirk Schlüter, Institute of Medical Microbiology, Otto-von-Guericke-University of Magdeburg, 39120 Magdeburg, Germany

Author contributions: Selgrad M and Malfertheiner P designed the research; Selgrad M, Tammer I, Meißle J and Langner C performed the research; Selgrad M, Bornschein J, Kandulski A, Varbanova M, Wex T and Schlüter D analyzed the data; Selgrad M and Malfertheiner P wrote the paper.

Supported by In part supported by a grant from the BMBF, BMBF-0315905D in the frame of ERA-NET PathoGenoMics

Correspondence to: Michael Selgrad, MD, Department of Gastroenterology, Hepatology and Infectious Diseases, Otto-von-Guericke-University of Magdeburg, Leipziger Str. 44, 39120 Magdeburg, Germany. michael.selgrad@med.ovgu.de

Telephone: +49-391-6713100 Fax: +49-391-6713105

Received: November 14, 2013
Revised: January 5, 2014
Accepted: April 21, 2014
Published online: November 21, 2014

Core Tip

Core tip: Different antibiotic susceptibility between antrum and corpus biopsies of the stomach represents a phenomenon and a possible explanation for treatment failure. Resistant Helicobacter pylori (H. pylori) strains, as a possible reason for treatment failure may be missed in a reasonable number if just one biopsy from one anatomic site of the stomach is taken for H. pylori susceptibility testing.