علاج التهاب المعدة الضموري التحولي المناعي الذاتي مع عدوى الملوية البوابية النشطة وحساسية البنسلين

References

• Given the implications of potentially undiagnosed H. pylori infection for cancer risk and exacerbating nutritional deficiencies (e.g., iron deficiency), H. pylori testing and treatment in all patients diagnosed with AIG are recommended.
• Of the recommended and suggested options for treatment-naive patients, only optimized BQT is suitable for patients with a true penicillin allergy.
• In treatment-naive patients with H. pylori infection, optimized BQT is recommended as a first-line treatment option (strong recommendation; moderate quality evidence).
• Optimized bismuth quadruple therapy includes appropriately dosed PPI, bismuth, nitroimidazole (1,500–2,000 mg in divided doses), and tetracycline (not doxycycline).
• All patients who are treated for H. pylori infection should undergo a test of cure with an appropriately conducted urea breath test, fecal antigen test, or biopsy-based test at least 4 weeks after completion of therapy.

DOI: 10.14309/ajg.0000000000002968