<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)'
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write '"*[["+tiddler.title+"]]\n"'>>
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Gram negative bacteria associated with gastrointestinal problems, principally peptic ulcer disease
<15% UK population
role of H pylori in GORD is unclear - no role in GORD for eradication of H pylori
''Management'' - eradication may be achieved with a 7 day course of
PPI (Omeprazole 20mg bd or Lansoprazole 30mg bd) + 2 of amoxicillin (1g bd), clarithromycin (500mg bd), Metronidazole (400mg bd)
2nd line - 14 day course with bismuth (tripottassium dicitratobismuthate) use different abs from before and can use tetracycline
?prokinetic
??tricyclic
test of cure only if ongoing Sx and 4-8/52 later
''Associations''
peptic ulcer disease (95% of duodenal ulcers, 75% of gastric ulcers)
gastric cancer
B cell lymphoma of MALT tissue (eradication of H pylori results causes regression in 80% of patients)
atrophic gastritis