PMID- 25096209 OWN - NLM STAT- MEDLINE DCOM- 20171215 LR - 20171215 IS - 1603-6824 (Electronic) IS - 0041-5782 (Linking) VI - 176 IP - 6 DP - 2014 Mar 17 TI - [Proton pump inhibitors in peptic ulcer bleeding]. LID - V08130529 [pii] AB - Treatment with proton pump inhibitors (PPI) is shown to improve the outcome of peptic ulcer bleeding (PUB). A recent Cochrane review evaluated different regimes of PPI-treatment in the management of PUB. The current evidence suggests that treatment with high-dose PPI (cumulative PPI-dose > 600 mg for the first 72 hours) is not associated with an improved outcome compared to treatment with a lower dose of PPI. The available studies are, however, characterized by high risk of bias, insufficient blinding, and a low event rate. Therefore, the existing data are insufficient to conclude that lower doses of PPI are equally efficacious to high-dose treatment. As the current evidence is strongest for high-dose treatment for patients with serious PUB it is recommended to use high-dose PPI treatment in patients treated with endoscopic therapy. This is in line with the national recommendations in Denmark. FAU - Laursen, Stig Borbjerg AU - Laursen SB AD - Medicinsk Gastroenterologisk Afdeling S, Odense Universistetshospital, Sdr. Boulevard 29, 5000 Odense C. stig.laursen@rsyd.dk. FAU - Schaffalitzky de Muckadell, Ove B AU - Schaffalitzky de Muckadell OB LA - dan PT - Journal Article PL - Denmark TA - Ugeskr Laeger JT - Ugeskrift for laeger JID - 0141730 RN - 0 (Proton Pump Inhibitors) SB - IM MH - Humans MH - Peptic Ulcer Hemorrhage/*drug therapy/pathology MH - *Proton Pump Inhibitors/administration & dosage/therapeutic use MH - Review Literature as Topic EDAT- 2014/08/07 06:00 MHDA- 2014/08/07 06:01 CRDT- 2014/08/07 06:00 PHST- 2014/08/07 06:00 [entrez] PHST- 2014/08/07 06:00 [pubmed] PHST- 2014/08/07 06:01 [medline] AID - V08130529 [pii] PST - ppublish SO - Ugeskr Laeger. 2014 Mar 17;176(6):V08130529.