Diagnosing H. pylori
Peptic Ulcer Disease (PUD)
Differential Diagnosis
 
Differential Diagnosis
The role of H. pylori in various diseases4
Disease Causative/ contributory role for
H. pylori
Effect of H. pylori eradication
Peptic Ulcer
Disease (PUD)
Yes Reduces ulcer recurrence rate
Gastric adenocarcinoma Yes Uncertain
Mucosa-associated lymphoid tissue (MALT) lymphoma Yes Partial or complete remission in more than half of patients
Uninvestigated dyspepsia Yes, in some patients Symptom improvement in some patients
Iron-deficiency anemia Likely May lead to anemia resolution when H. pylori is the cause
Idiopathic thrombocytopenic purpura Yes, in some patients Platelet counts improve after eradication
Nonulcer dyspepsia Controversial Little effect if any
NSAID-induced ulcer Controversial;
perhaps only in naïve NSAID users
May reduce ulcer incidence in Asian naïve-NSAID
users
Gastroesophageal reflux disease (GERD) Unlikely, at least for most patients; H. pylori may protect against GERD Uncertain
Pancreatic cancer Uncertain Unknown
Coronary artery disease Unlikely Probably none