74GUIDELINES-DOI10.51821/86.1.11327Belgian consensus for Helicobacter pylori management 2023R.Garces-Duran',S.Kindt',K.Kotilea,S.Francois',G.Rasschaert,A.Smet',B.Hauser,A.Driessen',M.Nkuize?,A.Burette",V.Lamy",P.Bontems',H.Louis",R.Ntounda",V.Y.Miendje Deyi,F.Mana3.Belgian Helicobacter pyloriand Microbiota Study Group(BHMSG)(1)Dept of Hepatogastroenterology.Cliniques de I'Europe,Cliniques Universitaires Saint Lue,H.UNI,Universite Catholique de Louvain,Brssels,Belgium;(2)Dept ofGastroenterology and Hepatolgy.Vrije Universiteit Brussel(VUB),Universitair Ziekenhuis Brussel,Brussels,Belgium,(3)Deptof Paediatric Gastroenterology.UniversiteLibre de Bruxelles,Hopital Universitaire des Enfants Reine Fabiola,Brussels,Belgium;(4)Laboratory of Experimental Medicine and Paediatrics,Faculty of Medic ineand Health Sciences,University of Antwerp,Wilrijk,Belgium;(5)Dept of'Paediatric Gastroenterology,Hepalology and Nutr ition.KidZ Health Castle,Vrije UniversiteitBrussel (VUB),Universitair Ziekenhuis Brussel,Brussel,Belgium;(6)Dept of Pathological Aratomy.Universitair ziekenhuis Antwerp,Antwerp,Belgium;(7)Dept ofGastroenterology and Hepatology.CHU Saint Pierre,Cliniques Universitaires de Bruxelles,Brussels,Belgium,(8)Dept of Gastroerterology and Hepatology.CHIREC,site de l Basilique et E.Cave ll,Brussels,Belgium;(9)Dept of Gastroenterology and Hepatology.CHU de Char leroi,Charleroi,Belgium;(10)Dept of Gastroenterology,Hepatopancreaology and Digestive Oncology.Hopital Universitaire de Brxelles(H.U.B.),C.U.B.Hopital Erasme,Universite Libre de Bruxelles Brussels,Belgium;CHRSM sitem Brussel (LHUB-ULB),Universite Libre de Bruxelles,Brussels,Belgium:(13)Dept of Gastroenterology and HepatolH.UNI,Brussels,Belgium;(14)Dept of Gastroenterology and He patology.Universitair Ziekenhuis Leuven,Leuven,Be lgium.INTRODUCTIONofthe bibliographic references of the included papers upto August 2022.Helicobacter pylori (H pylori)infection causesThe team leaders initially developed the recom-chronic gastritis,peptic ulcers and gastric cancer.mendations and various webmeetings were heldto discussAlthough H.pylori prevalence is decreasing worldwide,and resolve issues.The recommendations resulting fromregional variations exist in Europe,with the lowestthe online voting were discussed and approved duringinfection prevalence in Norther Europe,and the highesta face-to-face meeting,which took place in Brussels inin Eastern and Southern Europe (1).Changes in theMay 2022.After each vote,the coordinator reviewedtreatment recommendations and the increasing availablethe recommendations according to the comments andevidence have justified the implementation of newvotes received,integrating the suggestions to maximizerecommendations since last Belgian consensus in 1998the agreement.They were then subjected to anonymous(2).Several non-H.pylori Helicobacter species (NH.voting interaction process using the Delphi method.ForPYLOR/-H),colonizing the stomach of domestic animals,each recommendation,particip
