Management of Acute Bleeding Upper GI Ulcers in the Era of Endoscopic and IV PPI Therapy

Abstract

Weaknesses in the management of UGIB were identified, particularly with respect to addressing the role of H. pylori. Fragmentation and compartmentalization of patient care may be important contributing factors.

IsHelicobacter pyloriBeing Treated Appropriately? A Study of Inpatients and Outpatients in a Tertiary Care Centre

“…As noted above, only one-third of inpatients whose pathology results were available before discharge were treated. The initial management of patients requiring admission for peptic ulcer disease may be focused on stabilization and local therapy of any complications, to the detriment of diagnosis and treatment of the underlying disease process (7,15). This should not preclude treatment because many of the trials showing efficacy of H pylori eradication for prevention of bleeding recurrence were carried out in patients after their initial bleeding was controlled (18)(19)(20).…”