The medical care of patients with gastrointestinal bleeding after endoscopy

Gastrointest Endosc Clin N Am. 1997 Oct;7(4):671-86.

Abstract

After endoscopic hemostasis, eradication therapy should be given to those who are infected by H. pylori to prevent ulcer relapse and recurrent bleeding. Maintenance acid suppression is not required after successful eradication of H. pylori. Proton pump inhibitor is preferred for the healing of NSAID-induced ulcers. Use of the lowest possible dose, or discontinuation of NSAIDs, is recommended for those with history of ulcer disease. High risk patients who require long-term NSAID therapy should be put on maintenance misoprostal.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents
  • Anti-Inflammatory Agents, Non-Steroidal
  • Contraindications
  • Drug Therapy, Combination / therapeutic use
  • Helicobacter Infections / prevention & control*
  • Hemostasis, Endoscopic / methods*
  • Humans
  • Peptic Ulcer Hemorrhage / chemically induced
  • Peptic Ulcer Hemorrhage / therapy*
  • Postoperative Care / methods*
  • Prognosis
  • Secondary Prevention

Substances

  • Anti-Bacterial Agents
  • Anti-Inflammatory Agents, Non-Steroidal