Question

After completing 14-day bismuth quadruple therapy for H. pylori, a patient asks how to confirm eradication. What is recommended?

Accepted Answer

Stool antigen or urea breath test ≥4 weeks after therapy, with PPIs held ~2 weeks

Answer

No test-of-cure if asymptomatic

Answer

Serology at 2 weeks post-therapy

Answer

Endoscopy for all patients at 2 weeks

Answer

Repeat clarithromycin triple therapy and assume cure

Practice question

After completing 14-day bismuth quadruple therapy for H. pylori, a patient asks how to confirm eradication. What is recommended?