Stomach

Question 1

H Pylori testing

Answer 1

Urea breath test (cannot have had PPIs in last 2 weeks or antibiotics in last 4 weeks)

Question 2

H Pylori eradication

Answer 2

Triple therapy
1. lansoprazole
2. amoxicillin
3. metronidazole or clarithromycin

Question 3

Urgent referral criteria for dysphagia

Answer 3

all patients with dysphagia

Question 4

Urgent referral criteria for dyspepsia

Answer 4

> 55 + weight loss

AND one of the following

+upper abdo pain
+reflux
+dyspepsia

Question 5

Barrets treatment

Answer 5

PPI
3-5 yearly endoscopies
high grade dysplasia: radio frequency ablation or endoscopic mucosal resection

Question 6

GORD treatment if endoscopically proven oesophagitis

Answer 6

full dose PPI 1-2 months and then lower dose as required. If no response, double dose PPI 1 month.