A TRICK: TO TEST AND TREAT

A few years ago I just about won a debate at the BSG opposing the motion that testing and treating for Helicobacter pylori was an acceptable strategy in primary care. How strongly I believed in the argument seemed irrelevant at the time. Yet the world moves on and more evidence accumulates. Delaney highlights a clinical @lert which suggests that test and treat followed by endoscopy for non-responders was less effective than incorporating a trial of a proton pump inhibitor (whether or not test and treat were incorporated into the treatment programme). Whether a tester, a treater, or an endoscopist do try …