Gastroenterology Section, VA San Diego Healthcare System, La Jolla, California; VA Tennessee Valley Health System, Nashville, Tennessee; Division of Gastroenterology, Hepatology, and Nutrition, Vanderbilt University Medical Center, Nashville, Tennessee.
Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
Gastroenterology. 2021 Apr;160(5):1831-1841. doi: 10.1053/j.gastro.2020.11.059. Epub 2021 Jan 29.
The purpose of this CPU Expert Review is to provide clinicians with guidance on the management of Helicobacter pylori after an initial attempt at eradication therapy fails, including best practice advice on specific regimen selection, and consideration of patient and systems factors that contribute to treatment efficacy. This Expert Review is not a formal systematic review, but is based upon a review of the literature to provide practical advice. No formal rating of the strength or quality of the evidence was carried out. Accordingly, a combination of available evidence and consensus-based expert opinion were used to develop these best practice advice statements.
本 CPU 专家评论的目的是为临床医生提供初始根除治疗失败后管理幽门螺杆菌的指导，包括特定方案选择的最佳实践建议，并考虑影响治疗效果的患者和系统因素。本专家评论不是正式的系统评价，而是基于文献回顾提供实用建议。未对证据的强度或质量进行正式评估。因此，采用现有证据和基于共识的专家意见相结合来制定这些最佳实践建议。
