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Problems occurred after Helicobacter pylori eradication and their countermeasures

机译:幽门螺杆菌根除后出现的问题及对策

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摘要

Acute esophagogastroduodenal mucosal lesions are the demonstrable adverse events occurred after H. pylori eradication. In our study, acute duodenal erosions were observed in 13.5% of the eradicated patients. Duodenal erosions which occurred mainly at the early phase after eradication were temporal and asymptomatic. Acute gastric erosion showed the same clinical manner. However, it needs to pay attention for rare occurrence of acute ulcers with severe symptoms. On the other hand, mild but persistent reflux esophagitis occurred at relatively late phase after eradication. Their occurrence rates were 9.8% after 1 year and 11.4% after 3 years. Acute mucosal lesions occurred probably due to the increase of acid output accompanied with the recovery of gastritis. Symptomatic treatment with antacids were need occasionally for acute ulcer and reflux esophagitis.
机译:急性食管胃十二指肠粘膜病变是根除幽门螺杆菌后可证实的不良事件。在我们的研究中,在被根除的患者中有13.5%的患者出现了急性十二指肠糜烂。十二指肠侵蚀主要发生在根除后的早期,是暂时性和无症状的。急性胃糜烂表现出相同的临床方式。但是,需要注意的是很少出现严重症状的急性溃疡。另一方面,轻度但持续的反流性食管炎发生在根除后的相对晚期。一年后它们的发生率是9.8%,三年后是11.4%。急性粘膜病变的发生可能是由于酸输出的增加以及胃炎的恢复。对于急性溃疡和反流性食管炎,偶尔需要用抗酸药对症治疗。

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