Q/ Should you test forH pylori in patients with nonulcer dyspepsia?

    loading  Checking for direct PDF access through Ovid

Abstract

EVIDENCE-BASED ANSWER

A/ possibly. Helicobacter pylori in creases the risk of developing peptic ulcer disease (strength of recommendation [SOR]: B, cohort study), but there is no evidence that treating H pylori reduces that risk.

EVIDENCE-BASED ANSWER

Treating H pylori in patients with nonulcer dyspepsia reduces symptoms, but doesn't improve quality of life in the short term (SOR: B, systematic review of randomized controlled trials [RCTs] with inconsistent results), but may alleviate symptoms in the long term (SOR: B, RCT with methodological flaws).

EVIDENCE-BASED ANSWER

Eradicating H pylori is relatively inexpensive (SOR: A, systematic review of economic analyses).

Related Topics

    loading  Loading Related Articles