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1. Patients who have ongoing or recurrent dyspepsia symptoms following H pylori treatment should be tested by UBT (not serology) or undergo endoscopy with biopsies to determine whether H pylori is present.
Voting on recommendation (level/vote)
- A/11
- B/1
- C to E/0
Level of evidence I
Classification of recommendation A
2. If the patient continues to test positive (not serology) for H pylori infection, retreatment with an alternative regimen should be given, for which quadruple therapy is the treatment of choice.
Voting on recommendation (level/vote)
- A/11
- B/1
- C to E/0
Level of evidence III
Classification of recommendation C
3. If the patient retests negative, he or she should be treated as an H pylori-negative dyspepsia patient with acid suppression as defined in the CMT.
Voting on recommendation (level/vote)
- A/3
- B/9
- C to E/0
Level of evidence III
Classification of recommendation C