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Some useful guides
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Management of Helicobacter pylori infection—the Maastricht V/Florence Consensus Report
The 5th Chinese Helicobacter treatment consensus
How long should I wait before doing follow up breath/stool test?
VacA is a toxin which causes vacuolation of epithelial cells (bubbles within) when H.pylori attaches. VacA is a activated in acid to form a membrane pore which causes cells to become leaky, especially to urea. It also suppresses some of the immune response allowing H.pylori to persist.
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