Determining which patients to test and which to treat is the crux of management of peptic ulcer disease. A number of laboratory tests are now available to confirm initial clinical recognition of dyspepsia due to Helicobacter pylori infection. Fortunately, the disease can be cured with combination antisecretory and antibiotic therapy. However, the value of testing in patients in whom the presence of an ulcer is unconfirmed remains controversial. Nevertheless, it is generally agreed that confirmed cases of H pylori infection should be treated. In this article, the authors discuss clinical and laboratory diagnosis of peptic ulcer disease and provide an algorithmic approach to evaluation.
Original Publication Date: March 1999
1867. The Civil War is over. Yet there is much unrest and resentment that lives on throughout the land, and in the hearts of many... Marco steps out of the ashes of the war; a man turned bounty hunter had everything which mattered most to him violently stripped away. So he emerges with a burning desire like none other to find redemption, and a new purpose in life. He sets off i...
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