幽门螺杆菌感染国际新共识-part1ab探讨.ppt

In summary, at present, there is inadequate evidence supporting a causal relation between H pylori gastritis and abdominal symptoms in the absence of ulcer disease. Therefore, cases of abdominal pain consistent with the diagnostic criteria of functional pain (18) should not be investigated for H pylori, unless upper endoscopy is performed during the diagnostic workup in search for organic disease. * The finding of H pylori–associated gastritis in the absence of PUD during diagnostic endoscopy poses a dilemma for the endoscopist (see comment for recommendations 1, 2, and 3). As outlined in the