Ahn Ji Yong
Division of Gastroenterology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Korean J Gastroenterol. 2020 Nov 25;76(5):238-241. doi: 10.4166/kjg.2020.140.
The Korean guidelines for the Clinical Guidelines for Drug-related Peptic Ulcer were revised under the Korean College of Helicobacter and Upper Gastrointestinal Research in 2020. In these revised guidelines, treatment for infections is recommended in patients with a history of peptic ulcers and are receiving long-term low-dose aspirin therapy to prevent peptic ulcers and complications. The maintenance of anti-ulcer drugs, such as proton pump inhibitors, is also recommended after eradication if patients require other antiplatelet agents or anticoagulants. Regardless of eradication, when patients with a history of peptic ulcer take long-term low dose aspirin, the concomitant use of a proton pump inhibitor according to the severity of the peptic ulcer is recommended.
《药物相关性消化性溃疡临床指南》韩国版于2020年在韩国幽门螺杆菌与上消化道研究学会的主持下进行了修订。在这些修订后的指南中，对于有消化性溃疡病史且正在接受长期小剂量阿司匹林治疗以预防消化性溃疡及其并发症的患者，建议进行感染治疗。如果患者需要使用其他抗血小板药物或抗凝剂，根除治疗后也建议维持使用质子泵抑制剂等抗溃疡药物。无论是否根除，如果有消化性溃疡病史的患者长期服用小剂量阿司匹林，建议根据消化性溃疡的严重程度同时使用质子泵抑制剂。
