علاج القرحة الهضمية عند استمرار جرثومة المعدة بعد العلاج الاستئصالي السابق

References

DOI: 10.14309/ajg.0000000000002968

• The umbrella term "salvage therapy" refers to any treatment provided to patients with persistent H. pylori infection despite initial therapy.
• Of the recommended and suggested salvage regimens, only optimized BQT is suitable for patients with a true penicillin allergy.
• 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).
• 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).
• 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).
• 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 wk after completion of therapy.