Question

A 58-year-old woman complains of intermittent burning epigastric pain relieved by meals and antacids. She has no alarm features. A non-invasive H. pylori urea breath test is positive. According to standard Canadian H. pylori practice, what is the most appropriate management?

Accepted Answer

Eradication therapy with a 14-day PPI-based combination regimen

Answer

Reassure; no treatment is required

Answer

Long-term PPI monotherapy without antibiotics

Answer

Short course of antacids only

Answer

Immediate partial gastrectomy

Practice question

A 58-year-old woman complains of intermittent burning epigastric pain relieved by meals and antacids. She has no alarm features. A non-invasive H. pylori urea breath test is positive. According to standard Canadian H. pylori practice, what is the most appropriate management?