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20160425222528 Ben  
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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