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GU (HP +ve): follow-up after triple therapy

Authoring team

  • Helicobacter is present in 70% of gastric ulcers and most of the remainder are associated with NSAID.

  • After triple therapy, continue anti-secretory treatment for two months.

  • Long term treatment with Misoprostol or a PPI should be considered in patients with proven gastric ulcer who have to take NSAIDs.

  • Repeat gastroscopy with biopsies is essential until complete epithelialisation. If ulcer remains unhealed for six months then surgery should be considered.

Reference:

  1. BSG (2002). Dyspepsia management guidelines.

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