H pylori positive

[rrgam619 7]

Hi was anyone positive for h pylori before the surgery? I was and took the two weeks of antibiotics and still came out positive in the biopsy results of my stomach. Now my Dr wants me to repeat the triple treatment..anyone else in this predicament?

[James Marusek 5,244]

According to the internet:

Nausea and vomiting are the most common complaints after bariatric surgery, and they are typically associated with inappropriate diet and noncompliance with a gastroplasty diet (ie, eat undisturbed, chew meticulously, never drink with meals, and wait 2 hours before drinking after solid food is consumed). If these symptoms are associated with epigastric pain, significant dehydration, or not explained by dietary indiscretions, an alternative diagnosis must be explored. One of the most common complications causing nausea and vomiting in gastric bypass patients is anastomotic ulcers, with and without stomal stenosis. Ulceration or stenosis at the gastrojejunostomy of the gastric bypass has a reported incidence of 3% to 20%. Although no unifying explanation for the etiology of anastomotic ulcers exists, most experts agree that the pathogenesis is likely multifactorial. These ulcers are thought to be due to a combination of preserved acid secretion in the pouch, tension from the Roux limb, ischemia from the operation, nonsteroidal anti-inflammatory drug (NSAID) use, and perhaps Helicobacter pylori infection. Evidence suggests that little acid is secreted in the gastric bypass pouch; however, staple line dehiscence may lead to excessive acid bathing of the anastomosis. Treatment for both marginal ulcers and stomal ulcers should include avoidance of NSAIDs, antisecretory therapy with proton-pump inhibitors, and/or sucralfate. In addition, H pylori infection should be identified and treated, if present.

Some individuals find out they have Helicobacter pylori infection after surgery, so it is a little common.

If the first line of treatments are not effective, repeating the treatment with a triple set of antibiotics is recommended. http://gi.org/guideline/treatment-of-helicobacter-pylori-infection/

[BDME 138]

Hi was anyone positive for h pylori before the surgery? I was and took the two weeks of antibiotics and still came out positive in the biopsy results of my stomach. Now my Dr wants me to repeat the triple treatment..anyone else in this predicament?

I had to do 2 rounds of the antibiotics before t as all clear. The upside is all the antibiotics do wonders for you skin. My skin was the clearest I think it’s ever been in my adult life.

[LighteningUpLiron 5]

I was never tested for it prior to surgery, but they sent the portion of my stomach to pathology following my surgery and it came back positive for H. Pylori. I wasn't able to start my antibiotics until a month post op. I have had severe GERD and am hoping that once my H. Pylori infection gets cleared up that it will help with that.

[Creekimp13 5,838]

I got tested for it before surgery because my endoscope showed gastritis. They took some biopsies and sent them in during the pre-surgical endoscope. Luckily, the inflamation in my stomach was just causes by the ibuprofen I took a lot of to manage my arthritis. No H. Pylori. I feel bad for folks who find out after the fact....that sounds so rough.