WebEradication – which patients? All patients with proven duodenal ulcers. Patients with gastric ulcer. Patients with H. pylori and a strong family history of gastric cancer. Patients with epigastric pain in the absence of an ulcer. Assessment / monitoring. Initial testing for H. pylori may be done by laboratory-based serology or stool antigen test. WebTreat H. pylori.2D,11D,22A+,26B-Reassure, as NPV of all tests is >95%.16C If H. pylori negative, treat as to lowest dose PPI or H A needed to control symptoms. Review annually, including PPI need.2D,28D Only retest for HP if DU, GU, family history of cancer, MALToma, or if test was performed within two weeks of PPI, or four
Scenario: Management - proven peptic ulcer - CKS NICE
WebOct 2, 2024 · Helicobacter Pylori in Dyspepsia: Test and Treat. This is a brief summary of PHE's guidance on the testing and treatment of H. pylori in dyspepsia, including useful management algorithms. As per NICE guidance, patients over the age of 55 with recent onset, unexplained, and persistent dyspepsia (over 4–6 weeks) should be referred … WebMar 1, 2003 · Eradication therapy is being used more frequently in H. pylori –infected, non-endoscoped patients and in those with nonulcer dyspepsia. Treatment recommendations involving quadruple therapy... shrug my shoulders meaning
Gastritis - Symptoms, diagnosis and treatment BMJ Best Practice
WebSep 3, 2014 · 1.7.1 Offer H pylori eradication therapy to people who have tested positive for H pylori and who have peptic ulcer disease. Also see H pylori testing and eradication. … WebWhen is retesting for H pylori indicated? if compliance poor, or high local resistance rates; ... Management if eradication failure: reassess need for eradication; in patients with GORD or non-ulcer dyspepsia, with no family history of cancer or peptic ulcer disease, a maintenance PPI may be appropriate ... Helicobacter pylori triple therapy. WebPatients treated with H. pylori eradication therapy do not require routine retesting. There are specific situations where retesting may be appropriate, see Retesting for Helicobacter pylori, under Helicobacter pylori infection. If retesting is positive, second-line eradication therapy should be prescribed. shrug of the shoulders meaning