消化性潰瘍

治療:
  -清除H.pylori
  -避免NSAID, ASA
  -戒菸, 盡可能戒酒
  -外科 (內科無效or併發症產生)

H.pylori (+)
   三合一: clarithromycin (500mg bid), amoxicillin (1g bid), PPI (bid)  (clarith 抗藥性日增)
   替代 (clarith 抗藥; amox 過敏): metronidazole, tetracycline, Bismuth, PPI
   Sequential 療法: PPI + Abx x5d ->PPI + 2 different Abx x 5d) 清除率 ~90% (Annals 2008; 148:923) .