Joshua J. Ofman, MD, MSHS; Andrew H. Soll, MD; Katherine L. Kahn, MD
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Ofman J., Soll A., Kahn K.; Management of Helicobacter pylori-Positive Patients with Dyspepsia. Ann Intern Med. 1997;127:244. doi: 10.7326/0003-4819-127-3-199708010-00021
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Published: Ann Intern Med. 1997;127(3):244.
Dr. Schwartz raises some important and thought-provoking issues. First, public awareness of H. pylori has risen as a result of educational campaigns by the lay press, pharmaceutical companies, the American Gastroenterological Association's Digestive Health Initiative, and the National Institute of Health Consensus Development Conference . Although there is the potential that heightened awareness may lead to more physician visits for dyspepsia, thus raising the “aggregate costs” of care, there is no reason to believe that this impact will be different if initial anti-H. pylori therapy or initial endoscopy is the recommended management strategy. The impact of this awareness on the utilization of services, however, has not been established. Increasing patient visits provides greater opportunity to deliver potentially curative therapy to infected patients who are sufficiently symptomatic to seek care. The potential benefits of curing H. pylori infection in dyspeptic patients beyond resolution of symptoms or reduction in recurrent peptic ulcer disease include 1) preventing peptic ulcer and its complications and 2) potentially preventing gastric cancer and lymphoma [2, 3].
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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