Category Archives: Dyspepsia in primary care : Part 2

Recommendations for management of patients with long-standing dominant heartburn and H pylori infection

H pylori infectionIn Canada, the overall prevalence of H pylori infection is 25% to 30%. Age is an important risk factor. Most studies, including CADET-PE , have shown a lower prevalence of H pylori infection in patients with esophagitis compared with those without. H pylori-infected patients may have gastritis in the body of the stomach which may decrease gastric acid output and thereby lower the potential for acid reflux and resultant esophagitis. There has been controversy over whether cure of H pylori infection might provoke or lead to worsening of GERD. Most of the evidence shows that this is not the case. Table 1 shows classification of recommendations and voting schema. Continue reading

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