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
Zagari RM, Fuccio L, Bazzoli F. (2008). Investigating dyspepsia. BMJ. BRITISH MEDICAL JOURNAL, 337, 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.
