The Kyoto Global Consensus Report on Helicobacter pylori gastritis presents the results of a global consensus meeting aimed at developing a unified classification system for chronic gastritis and duodenitis, distinguishing dyspepsia caused by H. pylori from functional dyspepsia, and establishing appropriate diagnostic and treatment guidelines for H. pylori gastritis. The consensus was developed through a Delphi method with 23 clinical questions, resulting in 24 statements with a consensus level of >80%. A new classification system for gastritis and duodenitis based on aetiology is proposed for the 11th International Classification of Diseases (ICD-11). The report recommends the use of grading systems for gastric cancer risk stratification and modern image-enhanced endoscopy for diagnosing gastritis. It also emphasizes the importance of eradicating H. pylori infection before preneoplastic changes develop to minimize the risk of serious complications. The report highlights the need for a global consensus on the classification and management of gastritis, which will serve as the basis for an international classification system and further research. The consensus statement outlines the classification of gastritis and duodenitis based on aetiology, the importance of categorizing gastritis according to gastric subsites and histology, and the need for aetiology-based classification. It also addresses the classification of gastric erosions, the definition of H. pylori gastritis as an infectious disease, and the distinction between H. pylori-associated dyspepsia and functional dyspepsia. The report concludes that eradication of H. pylori infection is first-line treatment for improving dyspeptic symptoms and that patients who remain dyspeptic after successful eradication should be considered to have functional dyspepsia. The consensus also emphasizes the importance of using grading systems such as OLGA and OLGIM for risk stratification and the use of serological tests for identifying individuals at increased risk for gastric cancer. The report recommends the use of image-enhanced endoscopy for diagnosing gastritis and the importance of biopsy sampling for accurate histological assessment. The consensus statement provides a comprehensive framework for the classification, diagnosis, and management of H. pylori gastritis, which will guide future research and clinical practice.The Kyoto Global Consensus Report on Helicobacter pylori gastritis presents the results of a global consensus meeting aimed at developing a unified classification system for chronic gastritis and duodenitis, distinguishing dyspepsia caused by H. pylori from functional dyspepsia, and establishing appropriate diagnostic and treatment guidelines for H. pylori gastritis. The consensus was developed through a Delphi method with 23 clinical questions, resulting in 24 statements with a consensus level of >80%. A new classification system for gastritis and duodenitis based on aetiology is proposed for the 11th International Classification of Diseases (ICD-11). The report recommends the use of grading systems for gastric cancer risk stratification and modern image-enhanced endoscopy for diagnosing gastritis. It also emphasizes the importance of eradicating H. pylori infection before preneoplastic changes develop to minimize the risk of serious complications. The report highlights the need for a global consensus on the classification and management of gastritis, which will serve as the basis for an international classification system and further research. The consensus statement outlines the classification of gastritis and duodenitis based on aetiology, the importance of categorizing gastritis according to gastric subsites and histology, and the need for aetiology-based classification. It also addresses the classification of gastric erosions, the definition of H. pylori gastritis as an infectious disease, and the distinction between H. pylori-associated dyspepsia and functional dyspepsia. The report concludes that eradication of H. pylori infection is first-line treatment for improving dyspeptic symptoms and that patients who remain dyspeptic after successful eradication should be considered to have functional dyspepsia. The consensus also emphasizes the importance of using grading systems such as OLGA and OLGIM for risk stratification and the use of serological tests for identifying individuals at increased risk for gastric cancer. The report recommends the use of image-enhanced endoscopy for diagnosing gastritis and the importance of biopsy sampling for accurate histological assessment. The consensus statement provides a comprehensive framework for the classification, diagnosis, and management of H. pylori gastritis, which will guide future research and clinical practice.