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The future of Helicobacter pylori eradication: a personal perspective

Future changes in the use of Helicobacter pylori eradication therapy first will involve a decision‐making process to determine which individuals require testing. Clearly, only persons who require therapy need to be diagnosed and, at present, the indications for therapy are constantly expanding. The author takes the view that everyone with H. pylori would be better off without the bacterium, but accepts that in many countries resources are inadequate to achieve this goal.