A 54-year-old man is diagnosed with infection due to Helicobacter pylori after a positive urea breath test performed for dyspepsia. He is started on a...

Question

A 54-year-old man is diagnosed with infection due to Helicobacter pylori after a positive urea breath test performed for dyspepsia. He is started on an appropriate 14-day eradication regimen. According to Canadian gastroenterology guidance, which is the best way to confirm eradication?

Accepted Answer

Repeat urea breath test at least 4 weeks after completing therapy, off proton pump inhibitors

Answer

Endoscopy with biopsies the day after completing therapy

Answer

Serological testing for H pylori IgG at 2 weeks

Answer

Stool culture for H pylori one week after antibiotics

Answer

No confirmation is needed if symptoms resolve

ca-mccqe1 MCQ (SBA): Helicobacter pylori eradication confirmation

A 54-year-old man is diagnosed with infection due to Helicobacter pylori after a positive urea breath test performed for dyspepsia. He is started on an appropriate 14-day eradication regimen. According to Canadian gastroenterology guidance, which is the best way to confirm eradication?