@article {Sugano1353, author = {Kentaro Sugano and Jan Tack and Ernst J Kuipers and David Y Graham and Emad M El-Omar and Soichiro Miura and Ken Haruma and Masahiro Asaka and Naomi Uemura and Peter Malfertheiner}, editor = {, and Azuma, Takeshi and Bazzoli, Franco and Chan, Francis Ka-Leung and Chen, Minhu and Chiba, Naoki and Chiba, Tsutomu and Vas Coelho, Luiz Gonzaga and Di Mario, Francesco and Fock, Kwong Ming and Fukuda, Yasuhiro and Furuta, Takahisa and Genta, Robert Maximilian and Goh, Khean-Lee and Ito, Masanori and Katelaris, Peter Harry and Kato, Mototsugu and Kawai, Takashi and Kim, Nayoung and Kushima, Ryuji and Mahachai, Varocha and Matsuhisa, Takeshi and M{\'e}graud, Francis and Miwa, Hiroto and Murakami, Kazunari and O{\textquoteright}Morain, Colm Antoine and Rugge, Massimo and Sato, Kiichi and Shimoyama, Tadashi and Shiotani, Akiko and Sugiyama, Toshiro and Suzuki, Hidekazu and Yagi, Kazuyoshi and Wu, Ming-Shiang}, title = {Kyoto global consensus report on Helicobacter pylori gastritis}, volume = {64}, number = {9}, pages = {1353--1367}, year = {2015}, doi = {10.1136/gutjnl-2015-309252}, publisher = {BMJ Publishing Group}, abstract = {Objective To present results of the Kyoto Global Consensus Meeting, which was convened to develop global consensus on (1) classification of chronic gastritis and duodenitis, (2) clinical distinction of dyspepsia caused by Helicobacter pylori from functional dyspepsia, (3) appropriate diagnostic assessment of gastritis and (4) when, whom and how to treat H. pylori gastritis.Design Twenty-three clinical questions addressing the above-mentioned four domains were drafted for which expert panels were asked to formulate relevant statements. A Delphi method using an anonymous electronic system was adopted to develop the consensus, the level of which was predefined as >=80\%. Final modifications of clinical questions and consensus were achieved at the face-to-face meeting in Kyoto.Results All 24 statements for 22 clinical questions after extensive modifications and omission of one clinical question were achieved with a consensus level of \>80\%. To better organise classification of gastritis and duodenitis based on aetiology, a new classification of gastritis and duodenitis is recommended for the 11th international classification. A new category of H. pylori-associated dyspepsia together with a diagnostic algorithm was proposed. The adoption of grading systems for gastric cancer risk stratification, and modern image-enhancing endoscopy for the diagnosis of gastritis, were recommended. Treatment to eradicate H. pylori infection before preneoplastic changes develop, if feasible, was recommended to minimise the risk of more serious complications of the infection.Conclusions A global consensus for gastritis was developed for the first time, which will be the basis for an international classification system and for further research on the subject.}, issn = {0017-5749}, URL = {https://gut.bmj.com/content/64/9/1353}, eprint = {https://gut.bmj.com/content/64/9/1353.full.pdf}, journal = {Gut} }