CPG Ulcer EN PDF.qxd - American International Health Alliance
CPG Ulcer EN PDF.qxd - American International Health Alliance
CPG Ulcer EN PDF.qxd - American International Health Alliance
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Peptic <strong>Ulcer</strong><br />
DIAGNOSTIC ALGORITHM<br />
Complaints<br />
characteristic for<br />
ulcer<br />
Complicated ulcer<br />
YES<br />
To discontinue<br />
NSAID use<br />
YES<br />
NO<br />
Using NSAID<br />
NO<br />
NO<br />
Symptoms<br />
disappeared<br />
YES<br />
Has eradication therapy<br />
been conducted before<br />
NO<br />
YES<br />
No treatment needed.<br />
Noninvasive test to<br />
identify HP (level C)<br />
NO<br />
Positive result<br />
Consider other diagnosis,<br />
e.g., dyspepsia<br />
not related to ulcer,<br />
esophageal reflux.<br />
YES<br />
Eradication therapy<br />
(level A)<br />
Complaints two weeks<br />
after completion of the<br />
treatment<br />
YES<br />
Follow-up evaluation/<br />
specialty consultation,<br />
endoscopy (level A)<br />
NO<br />
Adapted from UMHS <strong>Ulcer</strong> Guideline<br />
Prophylactic treatment<br />
is not prescribed. No<br />
complaints for a long<br />
period of time means<br />
complete cure.<br />
Clinical Practice Guidelines for General Practitioners<br />
15
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