What are the ACG guidelines for prevention of NSAID-related ulcer complications?

Updated: Apr 26, 2021
  • Author: BS Anand, MD; Chief Editor: Philip O Katz, MD, FACP, FACG  more...
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In 2009, the American College of Gastroenterology (ACG) issued a guideline for prevention of nonsteroidal anti-inflammatory agent (NSAID)-related ulcer complications that supports the recommendations in this section. [58] According to the ACG guideline, all patients who are beginning long-term NSAID therapy should first be tested for H pylori. NSAIDs should be immediately discontinued in patients with positive H pylori test results if clinically feasible. The 2017 ACG guidelines for the treatment of H pylori infection (HPI) have reaffirmed testing for HPI before initiating NSAID therapy. [33]

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