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H.pylori Eradication Indications

Recommended Indications for Eradication of Helicobacter Pylori and Strength of Recommendations
Helicobacter Pylori Positive Strongly Recommended Recommended
Peptic Ulcer (regardless of activity or history of complications)
Gastric Mucosa-associated Lymphoid Tissue Lymphoma
Chronic Gastritis with Dyspeptic Symptoms
Chronic Gastritis with Gastric Mucosal Atrophy or Erosion
Early Gastric Tumor with Endoscopic Resection or Surgical Subtotal Gastrectomy
Long-term Use of Proton Pump Inhibitors
Family History of Gastric Cancer
Planned Long-term Use of Non-Steroidal Anti-Inflammatory Drugs (including low-dose Aspirin)
Iron Deficiency Anemia of Unknown Cause
Idiopathic Thrombocytopenic Purpura
Other Helicobacter Pylori-Related Diseases (such as Lymphocytic Gastritis, Hyperplastic Gastric Polyps, Ménétrier Disease)
Confirmed Helicobacter Pylori Infection

Explanation

"Treat all Hp-positive individuals, but do not perform testing if treatment is not intended." This is a good practice point proposed in the "Clinical Guidelines for Hp Infection in Developing Countries" established by the World Gastroenterology Organization. Therefore, Hp testing should be based on eradication indications and should not be arbitrarily expanded to other subjects.

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