Table IV.

Indications for testing and eradication of H. pylori – a summary

Undiagnosed dyspepsia (“test and treat” strategy)

Dyspepsia – differential diagnosis

Atrophic gastritis

Gastric and/or duodenal peptic ulcer disease (also in medical history)

After gastrectomy due to cancer

First-degree relatives of gastric cancer patients

Gastric lymphoma

Planned long-term treatment with non-steroidal anti-inflammatory drugs including aspirin

Long-term PPI treatment*

Idiopathic thrombocytopenic purpura (ITP)

Unexplained iron deficiency anaemia

Deficiency of vitamin B12

Differential diagnosis of other diseases (coeliac disease, Crohn’s)

Patient’s request*

Post-treatment infection follow-up

^*No proven beneficial population effect in this indication. PPI – proton pump inhibitors.