[A preventive and therapeutic measures for upper gastrointestinal disorders occurred after successful eradication of Helicobacter pylori].
According to the increasing the eradication therapy of Helicobacter pylori, endoscopists should pay an attention to a newly occurrence of upper gastrointestinal disorders after therapy. Most cases with gastric and duodenal erosion were asymptomatic and temporary that therapeutic approach are unnecessary. Some cases of gastro-esophageal reflux disease (GERD) required medication for a long period. About 2/3 of the cases basically had hiatal hernia. We have to pay an attention to the occurrence of GERD, when patient have hernia. The recurrence of peptic ulcer were seen in special condition such as use of nonsteroidal anti-inflammatory drugs, mental stress, or coexistence of other disease. It is important to get fully informed consent from all patients before eradication therapy including these unsatisfactory results.
2nd Department of Internal Medicine, Shinshu University School of Medicine.
T
T
Kaneko
M
M
Matsuzawa
N
N
Nakamura
T
T
Akamatsu
D000328:Adult; D005260:Female; D005753:Gastric Mucosa / Q000378:metabolism; D005756:Gastritis / Q000188:drug therapy / Q000382:microbiology; D005764:Gastroesophageal Reflux / Q000188:drug therapy / Q000209:etiology / Q000517:prevention & control*; D016481:Helicobacter Infections / Q000188:drug therapy*; D016480:Helicobacter pylori; D006551:Hernia, Hiatal / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000188:drug therapy / Q000382:microbiology; D012008:Recurrence