علاج التهاب المعدة الضموري التحولي البيئي عند استمرار وجود الملوية البوابية (H. pylori) رغم العلاج الاستئصالي السابق

DOI: 10.14309/ajg.0000000000002968

1. The umbrella term "salvage therapy" refers to any treatment provided to patients with persistent H. pylori infection despite initial therapy.
2. Of the recommended and suggested salvage regimens, only optimized BQT is suitable for patients with a true penicillin allergy.
3. In treatment-experienced patients with persistent H. pylori infection who have not previously received BQT, optimized BQT is suggested (conditional recommendation; very low quality of evidence).
4. In treatment-experienced patients with persistent H. pylori infection who have previously received PPI-clarithromycin triple therapy, optimized BQT is suggested (conditional recommendation; low quality of evidence).
5. In treatment-experienced patients with persistent H. pylori infection who have not previously received optimized BQT, optimized BQT is suggested over quinolone-based therapy (conditional recommendation; low quality of evidence).
6. 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.