What is included in inpatient care for the complications of Helicobacter pylori (Hp) infection?

Updated: Nov 16, 2018
  • Author: Mutaz I Sultan, MBChB, MD; Chief Editor: Carmen Cuffari, MD  more...
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Answer

In the child with Helicobacter pylori infection who has complications of ulcer disease, including bleeding, severe pain, perforation, or obstruction, inpatient care must include the following:

  • Attention to airway, breathing, and circulatory status

  • Monitoring and fluid resuscitation, with consideration of transfusion

  • Careful nasogastric lavage in the setting of upper-GI bleeding

  • Antacid therapy with proton pump inhibitors (PPIs) at full dosage

  • Appropriate consultation with specialists for endoscopy or other procedures

  • In the child with stress-induced peptic ulcer disease (PUD), treatment of underlying severe medical illness or traumatic injury


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