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Am Fam Physician. 2002;66(8):1402-1405

to the editor: Thank you for the fine article by Drs. Meurer and Bower entitled,“Management of Helicobacter pylori Infection.”1 My only comment would regard the recommendation for family physicians to refer their patients “to a gastroenterologist for endoscopy.” Esophago-gastroduodenoscopy is a primary care procedure that is taught in many of our residency programs and at our own annual scientific assembly (along with colonoscopy).

With the prevalence of H. pylori infection demonstrated to be as high as 52 percent in the United States,2 it should be obvious that there are simply not enough gastroenterologists to see all of these patients (especially considering the primacy of screening colonoscopy over screening flexible sigmoidoscopy3). More family physicians need to step forward and accept the challenge of learning and providing these procedures for our patients.

Email letter submissions to afplet@aafp.org. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors. Letters submitted for publication in AFP must not be submitted to any other publication. Letters may be edited to meet style and space requirements.

This series is coordinated by Kenny Lin, MD, MPH, deputy editor.

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