Helicobacter heilmannii ulceronecrotic acute gastritis: five cases reports

We report 5 casts of Helicobacter heilmannii associated ulceronecrotic gast ritis in patients presenting with acute epigastric pain. These bacteria wer e known to be associated with chronic active gastritis, less severe than th ose associated with Helicobacter pylori. Helicobacter heilmanni appears as spiral shaped organisms larger and longer but less numerous than Helicobact er pylori. Our five patients were cured by 4 weeks treatment with proton-po mp inhibitors without antibiotics. Endoscopic control, done in 4 patients, showed a complete dire and eradication of the germ. No ulcer relapse had oc curred.