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» This Changed My Practice » Dr. Sander Veldhuyzen van Zanten

Dr. Sander Veldhuyzen van Zanten

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Physician-Patients

Management of Helicobacter pylori in 2023: who should be tested, treated, and how

By Dr. Sander Veldhuyzen van Zanten on August 9, 2023

Helicobacter pylori (H. pylori) continues to be an important pathogen, associated with peptic ulcer disease, dyspepsia, and gastric cancer. The conventional triple combination of a PPI, clarithromycin, and either amoxicillin or metronidazole is no longer recommended because its success rates have decreased to less than 60%. The recommended first-line therapy is concomitant therapy (PPI, clarithromycin, amoxicillin, and metronidazole) and second-line therapy is bismuth-based therapy (PPI, bismuth, metronidazole, and tetracycline).


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