Testing to check success of treatment to eradicate H pylori

doi:10.1136/bmj.312.7042.1361b

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Patients' wellbeing should not be risked for marginal cost savings

K Bodger,
R V Heatley

Research fellow Consultant gastroenterologist Division of Medicine, St James's University Hospital, Leeds LS9 7TF

EDITOR,—Perminder S Phull and colleagues suggest that dyspeptic symptoms are good at predicting a successful outcome of treatment to eradicate Helicobacter pylori in patients with duodenal ulcer.1 Other published data, however, have shown that recurrent dyspepsia in patients with duodenal ulcer who are cured of H pylori infection is not as rare as the authors' results suggest.2 3 In one study, in which 207 patients with ulcer were followed up for a median of 250 days after treatment, 31% of those who were …