Treat H. pylori Early to Prevent Cancer
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By
January 13, 2026
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4 min
Recent expert commentary in JAMA Pediatrics highlights the debate on treating asymptomatic Helicobacter pylori infections in children to potentially reduce their future risk of gastric cancer. The authors argue for early intervention based on adult studies demonstrating that eradication before gastric damage can significantly lower cancer incidence. They acknowledge pediatricians' concerns over antibiotic stewardship but suggest that early treatment may prevent longer-term resistance. Current guidelines remain cautious, recommending treatment consideration based on shared decision-making with families.
1. JAMA Pediatrics commentary on H. pylori treatment in children. 2. Early treatment may lower adult gastric cancer risk. 3. Current pediatric guidelines are cautious about treatment. 4. Evidence from adult studies supports eradication before gastric damage. 5. Concerns include antibiotic resistance and treatment adherence. 6. Authors suggest treating children may be beneficial, despite lack of pediatric data. 7. 90% of gastric cancers could potentially be prevented with earlier intervention.
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