Helicobacter pylori infection in patients with liver cirrhosis: facts and fictions.


Helicobacter pylori infection could play a role in different clinical alterations observed in cirrhosis, from gastroduodenal lesions to hepatic encephalopathy. Although its prevalence in cirrhotics is similar to that in controls, H. pylori infection is responsible for the increased prevalence of peptic ulcer observed in these patients. The ammonia production by H. pylori urease does not seem to increase blood ammonia levels during cirrhosis, indicating that its role in hepatic encephalopathy could be marginalized in clinical practice. Dual and triple therapies have been shown to be equally effective for H. pylori eradication in these patients.


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@article{Zullo2003HelicobacterPI, title={Helicobacter pylori infection in patients with liver cirrhosis: facts and fictions.}, author={Angelo Zullo and Cesare Hassan and Sergio Morini}, journal={Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver}, year={2003}, volume={35 3}, pages={197-205} }