消化不良(英文).ppt

* * * * CLO = campylobacter like organisms Breath test - Need to stop ppi 2/52/antibiotics4/52 * * * * * * Dyspepsia, Peptic Ulcer Disease and Helicobacter Pylori Pharmacology Therapeutics February 2007 Dyspepsia 40% of all adults 4% GP consultations 10% further investigations 10-20% NSAID users Endoscopy findings 15% Duodenal or Gastric ulcer 15% Oesophagitis = GORD 30% Gastritis duodenitis or hiatus hernia 30% Normal = functional dyspepsia Pathogenesis of Dyspepsia Factor Treatment approach Infection with H. pylori Eradication of H. pylori infection, e.g. triple tx ↑ gastric HCl secretion ↓