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Diagnosis and management of H. pylori infection

from MedscapeCME

A clinical review in the April 29 issue of the New England Journal of Medicine provides information on how to detect, diagnose, treat, and manage Helicobacter pylori infection. "Infection with H. pylori is a cofactor in the development of three important upper gastrointestinal diseases: duodenal or gastric ulcers (reported to develop in one to 10 percent of infected patients), gastric cancer (in 0.1 to 3 percent) and gastric mucosa-associated lymphoid-tissue (MALT) lymphoma (in <0.01 percen)," writes Kenneth E. L. McColl, MD, from the Division of Cardiovascular and Medical Sciences, University of Glasgow, Gardiner Institute, Glasgow, United Kingdom. "The risk of these disease outcomes in infected patients varies widely among populations. The great majority of patients with H. pylori infection will not have any clinically significant complications." more

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