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How Are Bleeding Peptic Ulcers Treated?
Published: Jun 21, 2024
Bleeding peptic ulcers can be life-threatening, but various treatment options are available. Knowing these can help you make informed decisions about your care.
Initial Management Steps
When a bleeding peptic ulcer is suspected, the first step is to stabilize the patient. This often involves fluid resuscitation and blood transfusions if needed. It is crucial to monitor the patient's vital signs and ensure they are stable before proceeding to further treatment.
Endoscopic Therapy
Endoscopy is a key tool in treating bleeding ulcers. It allows doctors to directly view the ulcer and apply treatments like thermal coagulation or hemostatic clips to stop the bleeding. This procedure is generally safe and highly effective at reducing the risk of further bleeding.
Pharmacologic Therapy
Medications like proton pump inhibitors (PPIs) are used to suppress stomach acid and promote healing. These drugs are often given intravenously in severe cases. PPIs help stabilize blood clots and improve outcomes by maintaining a less acidic stomach environment.
Frequently Asked Questions
Initial treatment focuses on stabilizing the patient with fluids and transfusions.
Endoscopy helps treat ulcers by applying direct methods to stop bleeding.
Proton pump inhibitors are commonly used to suppress acid and stabilize clots.
Yes, endoscopy is generally safe and effective for treating bleeding ulcers.
The Bottom Line
Timely treatment of bleeding peptic ulcers can save lives and improve patient outcomes.
References
- Gralnek IM, Dumonceau JM, Kuipers EJ, et al. Diagnosis and management of nonvariceal upper gastrointestinal hemorrhage: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy 2015; 47:a1.
- Barkun AN, Bardou M, Kuipers EJ, et al. International consensus recommendations on the management of patients with nonvariceal upper gastrointestinal bleeding. Ann Intern Med 2010; 152:101.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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