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Well, it’s finally out! The European Helicobacter Study Group has previously produced two consensus reports, the last being in 2000. The Third Maastricht Consensus Conference was convened to update guidelines on the management of Helicobacter pylori infection. Fifty experts from 26 countries, including primary care physicians, were involved in formulating the consensus held in March 2005. Three major workshops dealt with indications and contraindications for eradication, focusing on dyspepsia, non-steroidal anti-inflammatory drugs or aspirin use (see fig), gastro-oesophageal reflux disease and extraintestinal manifestations of the infection. Other issues included diagnostic tests, treatment of infection, prevention of gastric cancer and other complications. This report provides updated recommendations for the management of most aspects of H pylori infection and will be of great help to many practising clinicians in most countries. Perhaps the most exciting conclusion of the report is that eradication of H pylori infection has the potential to reduce the
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