CPG Ulcer EN PDF.qxd - American International Health Alliance

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Peptic Ulcer decrease in the PPI effectiveness of. In cases of ulcers refractory to HRB-2, PPI is recommended (level A). Recommendation levels: A Randomized clinical trials or meta-analysis with statistically valid results B Randomized clinical trials or meta-analysis in which clinical outcome is possible but not valid C Non-randomized clinical trials, the physician makes his own decision D Recommendations of panel, results of separate clinical observations 14 Clinical Practice Guidelines for General Practitioners
Peptic Ulcer DIAGNOSTIC ALGORITHM Complaints characteristic for ulcer Complicated ulcer YES To discontinue NSAID use YES NO Using NSAID NO NO Symptoms disappeared YES Has eradication therapy been conducted before NO YES No treatment needed. Noninvasive test to identify HP (level C) NO Positive result Consider other diagnosis, e.g., dyspepsia not related to ulcer, esophageal reflux. YES Eradication therapy (level A) Complaints two weeks after completion of the treatment YES Follow-up evaluation/ specialty consultation, endoscopy (level A) NO Adapted from UMHS Ulcer Guideline Prophylactic treatment is not prescribed. No complaints for a long period of time means complete cure. Clinical Practice Guidelines for General Practitioners 15
Page 1 and 2: Protocol for Diagnosis and Treatmen
Page 3 and 4: Peptic Ulcer Acknowledgments The gu
Page 5 and 6: Peptic Ulcer Protocol for Diagnosis
Page 7 and 8: Peptic Ulcer I. Diseases 1. Gastric
Page 9 and 10: Peptic Ulcer II. Laboratory Tests T
Page 11 and 12: Peptic Ulcer III. Instrumental Eval
Page 13 and 14: Peptic Ulcer IV. Additional Evaluat
Page 15 and 16: Peptic Ulcer • Omeprasol (Losek,
Page 17 and 18: Peptic Ulcer therapy fail, a second
Page 19: Peptic Ulcer VI. Treatment of Gastr
Page 23 and 24: Peptic Ulcer 8. Taylor R. Family Me

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