Outpatient Services

Helicobacter pylori removal

Reduce your risk factors for ulcers!

Helicobacter pylori is detected in approximately 80-90% of patients with gastric and duodenal ulcers. Although H. pylori is not necessarily the only cause, eradication therapy can reduce the risk of developing the disease. Furthermore, more than half of patients with gastric and duodenal ulcers experience a recurrence within one year.

H. pylori is also involved in the difficulty of healing ulcers and their recurrence after treatment. Eradication treatment not only prevents the recurrence of most ulcers, but also increases the risk of stomach cancer due to chronic stomach inflammation caused by H. pylori, so H. pylori eradication is recommended as a means of preventing stomach cancer.

  • We will give priority to those who have made reservations.
    If you come to our clinic without making a reservation, your wait time may be longer depending on how busy we are, or we may refer you to another clinic.

What is Helicobacter pylori?

Helicobacter pylori (H. pylori) is a spiral-shaped bacterium that lives in the mucus of the stomach. Subsequent research has revealed that it is deeply involved in stomach diseases such as gastric ulcers. The route of infection is not clearly understood, but it is thought to occur mainly through the mouth during childhood.

The stomach produces strong acid (gastric acid) to digest food. It was previously thought that no bacteria existed in this acid. However, Helicobacter pylori can survive in strong stomach acid. This mechanism has a negative effect on the stomach, causing damage and recurrence of ulcers. It is believed that H. pylori is transmitted orally, but the infection rate is high in developing countries. In Japan, the infection rate is high among people born in an era when sanitation was not adequate, and it is said that the infection rate among people over 50 is approximately 80%. However, being infected with H. pylori does not mean that everyone will develop ulcers or other illnesses.

How to test for Helicobacter pylori

Some tests involve upper gastrointestinal endoscopy (gastroscope) and some do not.

Examination using a gastroscope

  • Rapid urease test
  • Microscopy (histopathology) involves examining tissue samples under a microscope.
  • Culture method (microaerophilic bacterial culture is used to examine whether Helicobacter pylori grows in mucosal tissue.)
  • *If you would like to undergo endoscopic examination using sedation, please sure to checkplease be sure to check the precautions on this page.

Examination without using a gastroscope

  • Antibody measurement (blood and urine tests)
  • Urea breath test
  • Stool test to detect Helicobacter pylori antigen

Flow of Helicobacter pylori eradication

1. Inspection

Blood tests, urea breath tests, and endoscopic examinations are performed to determine whether or not you have Helicobacter pylori and whether eradication is necessary.

2. Start taking medication

If H. pylori is confirmed and eradication is necessary, antibiotics and acid suppressants are taken twice a day, after breakfast and dinner.
Continue this for a week.

*If you are undergoing treatment for a stomach or duodenal ulcer, you will need to continue taking acid secretion suppressants for another 5 to 7 weeks.

3. End of medication

After you stop taking the medicine, wait about four weeks to check whether the bacteria have been properly eradicated.

4. Re-examination

This will check whether H. pylori has been completely eradicated. (If any H. pylori remains, it will grow again in a few weeks.) The retest will be performed using a highly sensitive test method that can detect H. pylori.

5. Final judgment

If sterilization is successful:
Treatment is complete. In most cases, reinfection will not occur.

If complete sterilization is not possible
The type of antibiotic will be changed and the bacteria will be sterilized again.

To receive testing and treatment

How to get a medical examination

Please feel free to consult with our internal medicine department.

Medical fee

Depending on the symptoms, insurance may be applicable. (Up to the second sterilization. All sterilization from the third sterilization onwards will be at your own expense.)
Whether or not insurance will cover the treatment is up to the doctor's discretion, so we cannot answer in advance. Please check with your doctor during your consultation.
When receiving medical treatment covered by insurance, you will be required to pay a co-payment based on your insurance points.

Self-pay fee: Primary, secondary, and tertiary sterilization (all below) 27,500 yen (tax included)

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