Алексей Парамонов

Кишечник с комфортом, желудок без проблем

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третьей линии требует посева хеликобактера из биоптата желудка с определением чувствительности к антибиотикам. В России рутинно этот метод недоступен. Это делается единично в научных программах. Пока ни одна сетевая лаборатория данный метод не освоила. В этой связи нам остается вновь проводить эмпирическую терапию с висмутом, используя антибиотики, которые ранее не применяли, или направлять пациента в зарубежные клиники.

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