brand logo

These key learning points summarize the consensus- and evidence-based recommendations included in this edition. The sources listed here for each statement recommend that physicians perform or implement these actions directly in a clinical setting.

1. Prescribe long-term proton pump inhibitor (PPI) therapy for patients with confirmed gastroesophageal reflux disease (GERD) and acid-related complications, patients with Barrett esophagus and symptomatic GERD, and patients at high risk of bleeding from long-term nonsteroidal anti-inflammatory drug (NSAID) use if they continue to take NSAIDs.
Evidence rating: SORT B
Source: American Gastroenterological Association, reference 45
Website: https://www.gastrojournal.org/article/S0016-5085(17)30091-4/fulltext

2. If Helicobacter pylori is identified in patients with peptic ulcer disease, offer treatment for H pylori infection.
Evidence rating: SORT B
Source: American College of Gastroenterology, reference 97
Website: https://journals.lww.com/ajg/fulltext/2017/02000/acg_clinical_guideline_treatment_
of_helicobacter.12.aspx

3. After management for H pylori infection is completed, testing for proof of eradication should be obtained at least 4 weeks after treatment completion and after PPI therapy has been withheld 1 to 2 weeks.
Evidence rating: SORT C
Source: American College of Gastroenterology, reference 97/
Website: https://journals.lww.com/ajg/fulltext/2017/02000/acg_clinical_guideline_treatment
_of_helicobacter.12.aspx

Already a subscriber?  Log In

Subscribe

From $350
  • Immediate, unlimited access to FP Essentials content
  • 60 CME credits/year
  • AAFP app access
  • Print delivery available
Subscribe

Edition Access

$44
  • Immediate, unlimited access to this edition's content
  • 5 CME credits
  • AAFP app access
  • Print delivery available
Interested in AAFP membership? Learn more  Learn More

Continue Reading

Copyright © 2024 by the American Academy of Family Physicians.

This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.  See permissions for copyright questions and/or permission requests.