胃溃疡患者在开始接受治疗后 8 周时需要内镜复查,以确定溃疡愈合情况,并排除胃癌,因为小部分胃癌可表现为胃溃疡。无并发症的十二指肠溃疡患者不需要内镜随访。
对于有明确幽门螺杆菌感染的患者,应在抗微生物治疗结束后至少 1 个月才能评估该细菌是否被根除。[25]Chey WD, Leontiadis GI, Howden CW, et al. ACG clinical guideline: treatment of Helicobacter pylori infection. Am J Gastroenterol. 2017 Feb;112(2):212-39.http://gi.org/wp-content/uploads/2017/02/ACGManagementofHpyloriGuideline2017.pdfhttp://www.ncbi.nlm.nih.gov/pubmed/28071659?tool=bestpractice.com 理想情况下,在根治检测之前,患者应至少停用质子泵抑制剂治疗 7 天。[25]Chey WD, Leontiadis GI, Howden CW, et al. ACG clinical guideline: treatment of Helicobacter pylori infection. Am J Gastroenterol. 2017 Feb;112(2):212-39.http://gi.org/wp-content/uploads/2017/02/ACGManagementofHpyloriGuideline2017.pdfhttp://www.ncbi.nlm.nih.gov/pubmed/28071659?tool=bestpractice.com