PMID- 21577296 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20110714 LR - 20211020 IS - 2150-5349 (Electronic) IS - 2150-5349 (Print) IS - 2150-5349 (Linking) VI - 1 IP - 2 DP - 2010 Apr 6 TI - Role of proton pump inhibitors in the management of peptic ulcer bleeding. PG - 51-3 LID - 10.4292/wjgpt.v1.i2.51 [doi] AB - Peptic ulcer bleeding is a serious medical problem with significant morbidity and mortality. Endoscopic therapy significantly reduces further bleeding, surgery and mortality in patients with bleeding peptic ulcers and is now recommended as the first hemostatic modality for these patients. The efficacy of large-dose proton pump inhibitor (PPI) therapy in reducing re-bleeding after endoscopic therapy has been supported by evidence derived from randomized controlled trials. It may be premature to recommend small-dose intravenous injection PPI after endoscopic hemostasis in patients with bleeding ulcers. An updated systematic review shows that PPI therapy before endoscopy significantly reduces the proportion with major stigmata and requirement for endoscopic therapy at index endoscopy. Some studies show that there is no significant difference between oral and intravenous PPIs in raising intragastric pH. However, clinical data is lacking in patients with peptic ulcer bleeding to date. FAU - Lin, Hwai-Jeng AU - Lin HJ AD - Hwai-Jeng Lin, Department of Medicine, Division of Gastroenterology, Changhua Christian Hospital, 135 Nanhsiao Street, Changhua 500, Taiwan, China. LA - eng PT - Journal Article PL - United States TA - World J Gastrointest Pharmacol Ther JT - World journal of gastrointestinal pharmacology and therapeutics JID - 101547456 PMC - PMC3091149 OTO - NOTNLM OT - Endoscopic therapy OT - Hemostasis OT - Peptic ulcer bleeding OT - Proton pump inhibitor OT - Re-bleeding EDAT- 2011/05/18 06:00 MHDA- 2011/05/18 06:01 PMCR- 2010/04/06 CRDT- 2011/05/18 06:00 PHST- 2010/01/07 00:00 [received] PHST- 2010/01/27 00:00 [revised] PHST- 2010/02/03 00:00 [accepted] PHST- 2011/05/18 06:00 [entrez] PHST- 2011/05/18 06:00 [pubmed] PHST- 2011/05/18 06:01 [medline] PHST- 2010/04/06 00:00 [pmc-release] AID - 10.4292/wjgpt.v1.i2.51 [doi] PST - ppublish SO - World J Gastrointest Pharmacol Ther. 2010 Apr 6;1(2):51-3. doi: 10.4292/wjgpt.v1.i2.51.