Peptic disease and Helicobacter pylori — viva

Opening (must-hit)

"In a child with dyspepsia and an alarm feature such as melaena, I investigate with upper endoscopy and biopsy rather than a non-invasive test-and-treat strategy. I only treat H. pylori if it is found endoscopically and disease is present, and I tailor eradication to susceptibility for 14 days, then confirm cure at least four weeks later off the proton-pump inhibitor." ^{[1] [5]}