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The management of peptic ulcer disease

机译:消化性溃疡疾病的治疗

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摘要

The period under review has seen little evolution in our understanding of the empiric management of dyspepsia. The role of Helicobacter pylori in this setting remains controversial, and a policy of risk stratification with the prudent use of test and treat and symptomatic therapy, with endoscopy for nonresponsive cases, seems to have some support from the literature in this period.Findings are presented that suggest that the H.pylori stool antigen test is not as reliable as the urea breath test, while the most promising "new therapy" for H. pylori is not new, but rather an amalgam of some older drugs combined in a new "quadruple" therapy strategy, which shows some promise.
机译:在本报告所述期间,我们对消化不良的经验性管理了解很少。幽门螺杆菌在这种情况下的作用仍存在争议,在这一时期,对内镜检查无反应的病例采取谨慎的治疗和对症治疗以及对症治疗的风险分层策略似乎得到了文献的支持。这表明幽门螺杆菌粪便抗原测试不如尿素呼气测试可靠,而幽门螺杆菌最有前途的“新疗法”并不是新事物,而是一些旧药物与新四联疗法的结合体治疗策略,这显示出一些希望。

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