Question

A 55-year-old completed 14-day bismuth quadruple therapy for H. pylori. When and how should eradication be confirmed?

Accepted Answer

Urea breath test ≥4 weeks after therapy; hold PPIs for ≥2 weeks

Answer

Stool antigen test 1 week after therapy while on PPI

Answer

Serology now

Answer

Endoscopy with biopsy immediately after therapy

Answer

No test of cure is needed in asymptomatic patients

Practice question

A 55-year-old completed 14-day bismuth quadruple therapy for H. pylori. When and how should eradication be confirmed?