158 - Helicobacter pylori Infections Flashcards
H. pylori is found in __% of the world population
50
H. pylori is the main risk factor for: 3
PUD
gastric adenocarcinoma
MALT
H. pylori reduce the frequency of __ and esophageal __
GERD
esophagus
H. pylori producing __ increases the risk for PUD and adenocarcinoma
Cag-A
Gastritis located in the __ of the stomach is usually linked to __ ulcers, whole pan-gastritis/body of the stomach ulcers are more linked to __ and __
antrum
esophageal
PUD
adenocarcinoma
All of H. pylori carriers are with histological __, but only -% suffer from complications (M_W)
gastritis
10-15
>
H. pylori can cause decreased __ absorption, or loss due to __ bleeding.
iron
occult
Gastroscopy is necessary in __ to rule out __. Biopsy will be carried to look for __
elders
malignancies
urease
Non-invasive tests are recommended when no reason to suspect __. In those cases-__ test for urea. Other test include antigen presence in __ or serological test for __ in the serum
malignancy
breath
stool
IgG
Peptic ulcer requires __ to confirm healing and rule out gastric __.
biopsy
adenocarcinoma
What are the indications to treat H. pylori? 5
peptic/duodenal ulcers MALT functional dyspepsia ITP anemia/ B12 deficiency
H. pylori treatment includes __ + 2 or 3 __ for - days
PPI
ABx
10-14
What is the first line of treatment for H. pylori?
omeprazole + clarithromycin + metronidazole X 14 days
What is the second line of treatment for H. pylori?
omeprazole + clarithromycin + amoxicillin X 14 days
What is the third line of treatment for H. pylori?
omeprazole + bismuth + tetracycline + metronidazole X 14 days
