What is the most effective management forH pylorigastritis?

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Bottom lineThe most effective treatments include 7–14 days of quadruple therapy, 10–14 days of standard triple therapy plus probiotics, and 10–14 days of levofloxacin plus amoxicillin/clarithromycin plus a proton-pump inhibitor (PPI) (SOR: A, meta-analyses of RCTs). In areas where resistance to either metronidazole or clarithromycin is >80%, clarithromycin, amoxicillin, metronidazole, and a PPI for 10 days preserves eradication rates (SOR: A, meta-analysis of RCTs).

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