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Revista Cubana de Medicina

versión impresa ISSN 0034-7523versión On-line ISSN 1561-302X


GONZALEZ-CARBAJAL PASCUAL, Miguel  y  MARTINEZ LEYVA, Ludmila. MAASTRICHT III and dyspepsia: Reasons for a discrepancy. Rev cubana med [online]. 2008, vol.47, n.4. ISSN 0034-7523.

The Maastrich III Consensus Meeting, in which the guidelines for the therapeutic approach of Helicobacter pylori infection were laid down was celebrated in 2005. In this paper, it is made an analysis of the indication of treating non-studied dyspeptic patients and non-ulcerous dyspectic with erradication therapy of the bacterium, which was given a level of evidence 1 A and a recommendation degree A in this meeting of experts. The attention was called on the discordance between the statistical significance found in a controlled and randomized work and a Cochrane Systematic Review on functional dyspepsia and its clinical importance. It is stressed that the Maastricht Consensus bases its recommendations on the treatment of dyspepsia suggested in these papers. The delay in the making of an early diagnosis of the organic causes of dyspepsia, the masking of malignant gastric diseases, the development of bacterial resistance and the affectation of the intestinal microbiota are among the dangers resulting from the adverse side effects of the application of an eradication therapy of Helicobacter pylori in a population of patients of so vast dimensions.

Palabras clave : Helicobacter pylori; dyspepsia; eradication.

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