Evidence map›Paper›PMID 40662427›Full record

SynthesisJournal of gastroenterology and hepatology2025

Helicobacter pylori Infection and Eradication in Relation to Gastroesophageal Reflux Disease.

Hejie Wang, Yaxin Qu, Yuan Lin, Zhiqiang Liu, Jesper Lagergren, Shuai Yuan, Eivind Ness-Jensen, Wei Jiang, Shao-Hua Xie

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of gastroenterology and hepatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Does Treatment ofGastroenterology & hepatology · 2026
    Article
  4. Article
  5. Microorganisms · 2025
    Article
  6. Effects of IntragastricJournal of clinical medicine · 2025
    Article
  7. The Potential Role ofMicroorganisms · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hejie WangSchool of Public Health, Fujian Medical University, Fuzhou, China.
Yaxin QuSchool of Public Health, Fujian Medical University, Fuzhou, China.
Yuan LinSchool of Public Health, Fujian Medical University, Fuzhou, China.
Zhiqiang LiuSchool of Public Health, Fujian Medical University, Fuzhou, China.
Jesper LagergrenUpper Gastrointestinal Surgery, Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Shuai YuanInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Eivind Ness-JensenUpper Gastrointestinal Surgery, Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Wei JiangDepartment of Gastroenterology and Hepatology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, China.
Shao-Hua XieSchool of Public Health, Fujian Medical University, Fuzhou, China.ORCID https://orcid.org/0009-0007-7768-2133

Funding

Startup Fund for Scientific Research of Fujian Medical University XRCZX2021024Swedish Cancer Society 22-2038
6 · The paper itself

Abstract

BACKGROUND AND

aimThe effect of Helicobacter pylori (H. pylori) infection and eradication on the risk of gastroesophageal reflux disease (GERD) is still unclear.

methodsWe conducted a systematic review with a comprehensive literature search in the bibliographic databases Embase, Medline, and Cochrane Library through May 2024. Random-effects meta-analyses estimated the pooled odds ratios (OR) for the associations of H. pylori infection and eradication with GERD risk in prospective studies. A two-sample Mendelian randomization analysis based on data from the FinnGen study assessed associations between genetically predicted levels of seven H. pylori antibodies, that is, immunoglobulin G (IgG) and six virulence factors (cytotoxin-associated gene A [CagA], Outer Membrane Protein [OMP], vacuolating cytotoxin A [VacA], urease A [UreA], catalase and GroEL), and GERD risk.

resultsA total of 25 eligible studies were included. Meta-analysis combining data from three cohort studies and one nested case-control study indicated an inverse association between H. pylori infection and GERD (pooled OR = 0.58; 95% confidence interval [CI], 0.23-1.44). Meta-analysis of 18 cohort studies and three randomized controlled trials (RCTs) showed an increased risk of GERD after H. pylori eradication (pooled OR = 2.01; 95% CI, 1.44-2.81), and this association was stronger when specifically analyzing reflux esophagitis (pooled OR = 2.27; 95% CI, 1.57-3.29). No associations were found in Mendelian randomization analysis for any of the studied H. pylori antibodies. [Correction added on 7 August 2025, after first online publication: The Abstract section has been updated to correct the number of studies for eligible and cohort under the Results.]

conclusionsThe study suggests that H. pylori infection is associated with a decreased risk of GERD and that H. pylori eradication increases the risk.

Indexed as

Gastroesophageal RefluxHelicobacter InfectionsHelicobacter pyloriAnti-Bacterial AgentsAntibodies, BacterialHumansRisk FactorsVirulence FactorsAnti-Bacterial AgentsAntibodies, BacterialVirulence Factorsgastroesophageal reflux diseaseHelicobacter pyloriMendelian randomization analysisreflux esophagitissystematic review

Identifiers

PMID40662427
PMCPMC12511830

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.