Question

A 55-year-old with H. pylori infection completed optimized bismuth quadruple therapy. When and how should eradication be confirmed?

Accepted Answer

Urea breath test ≥4 weeks after antibiotics and after being off PPI for ~2 weeks

Answer

No test-of-cure is needed if asymptomatic

Answer

Stool antigen now while on PPI

Answer

Serum IgG H. pylori level now

Answer

Endoscopy with biopsy only if symptomatic

Practice question

A 55-year-old with H. pylori infection completed optimized bismuth quadruple therapy. When and how should eradication be confirmed?