Around 25-40% of adults have chronic and recurrent dyspeptic symptoms Most patients have no structural lesions and malignancy is rare, especially in Western populations Two empirical strategies show results—a non-invasive test for H pylori and treatment of H pylori positive patients with eradication therapy (test and treat), and empirical treatment with proton pump inhibitors The 13C-urea breath test and stool antigen test are the recommended non-invasive tests for H pylori infection. Patients should stop proton pump inhibitors two weeks before and antibiotics four weeks before performing either of these tests
Investigating dyspepsia / Zagari RM; Fuccio L; Bazzoli F.. - In: BMJ. BRITISH MEDICAL JOURNAL. - ISSN 0959-8146. - STAMPA. - 337:(2008), pp. 1(a1400)-5(a1405). [10.1136/bmj.a1400]
Investigating dyspepsia.
ZAGARI, ROCCO MAURIZIO;FUCCIO, LORENZO;BAZZOLI, FRANCO
2008
Abstract
Around 25-40% of adults have chronic and recurrent dyspeptic symptoms Most patients have no structural lesions and malignancy is rare, especially in Western populations Two empirical strategies show results—a non-invasive test for H pylori and treatment of H pylori positive patients with eradication therapy (test and treat), and empirical treatment with proton pump inhibitors The 13C-urea breath test and stool antigen test are the recommended non-invasive tests for H pylori infection. Patients should stop proton pump inhibitors two weeks before and antibiotics four weeks before performing either of these testsI documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
