Our study is limited by the sample size, which may not be largeenough given the high background prevalence of H. pylori in theArab Israeli population. Another limitation is the lack of control forconfounding and lack of a validated symptom score or clinicalendpoint such as the Rhodes index questionnaire, which couldpotentially correlate H. pylori positivity with disease severity.In conclusion, our findings do not support a connectionbetween HG and H. pylori in Arab Israelis; however this couldbe due to the unexpectedly high prevalence of the organism. Largerstudies incorporating antibiotic treatment and clinical endpointsin this population are warranted.Conflict of interest: The authors have no funding or conflicts ofinterest to disclose. All authors have approved this manuscript.