Medical Position Statement: The North American Society for Pediatric Gastroenterology and Nutrition Helicobacter pylori Infection in Children: Recommendations for Diagnosis and Treatment

Helicobacter pylori infects at least 50 % of the world’s human population (1). However, most individuals in-fected with H. pylori do not experience symptoms or have signs of recognizable disease. In most children, the presence of H. pylori infection does not lead to clinically apparent disease, even when the organism colonizing the gastric mucosa causes chronic active gastritis (2). Knowledge about H. pylori infection is evolving, par-ticularly in the pediatric age group for which there are still large gaps in knowledge. Additional multicenter, randomized, placebo-controlled treatment trials in children infected by H. py-lori are critically needed to definitively characterize the effect of H. pylori eradication treatment during child-hood on symptoms and gastroduodenal mucosal disease