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Browse CATs  internal medicine  gastroenterology  upper gastrointestinal bleeding

Diagnosis Economics Harm/ aetiology Prognosis Therapy Peptic ulcers Varices

Peptic ulcer triple therapy reduced ulcers in patients on NSAIDs who were infected with H. pylori Level of evidence 1b Expiry Date October 2002 Peptic ulcer H. pylori eradication improves healing. Level of evidence 1a Expiry Date October 2002 Peptic ulcer NSAIDs: 40 mg omeprazole heals ulcers and erosions with the fewest adverse effects. Level of evidence 1b Expiry Date January 2003 Peptic ulcer antacids relieved symptoms and healed ulcers. Level of evidence 1b Expiry Date January 2003 Peptic ulcer NSAIDs: omeprazole and misoprostol prevented ulcer recurrence better than placebo Level of evidence 1b Expiry Date January 2003 Peptic ulcer H. pylori: eradication therapy helped gastric ulcer healing. Level of evidence 1b Expiry Date October 2002 Peptic ulcers NSAIDs: omeprazole prevented recurrence and dyspepsia better than ranitidine Level of evidence 1b Expiry Date October 2002 Peptic ulcers NSAIDs: omeprazole healed ulcers better than ranitidine Level of evidence 1b Expiry Date October 2002 Upper GI bleed there was no clear benefit from adding heat probe coagulation to endoscopic epinephrine injection therapy for patients with peptic ulcer. Level of evidence 1b- Expiry Date October 2002 Upper GI bleed adding laser photocoagulation to adrenaline for endoscopic haematostasis for patients with peptic ulcer had no clear benefit. Level of evidence 1b- Expiry Date January 2003 Upper GI bleed eating immediately following endoscopy had no clear effect on rebleeding Level of evidence 1b- Expiry Date October 2002 Upper GI bleed Endoscopic haemostasis of bleeding peptic ulcers reduces bleeds, emergency surgery and death. Level of evidence 1a Expiry Date October 2002 Upper GI bleed peptic ulcer: H. pylori eradication therapy reduced rebleeding. Level of evidence 1b Expiry Date October 2002 Upper GI bleed bleeding peptic ulcer: omeprazole reduced rebleeding and the need for surgery. Level of evidence 1b Expiry Date October 2002 Upper GI bleed bleeding peptic ulcer: elderly patients on omeprazole were less likely to continue bleeding or require surgery. Level of evidence 1b Expiry Date October 2002 Upper GI bleed bleeding duodenal ulcer: early surgery was not clearly better than conservative management if no vessel is visible Level of evidence 1b- Expiry Date October 2002 Upper GI bleed endoscopic therapies reduce rebleeding, need for surgery and death. Level of evidence 1a Expiry Date July 2003 Upper GI bleed no clear benefit from immediate elective surgery Level of evidence 4 Expiry Date October 2002 Upper GI bleed peptic ulcer: omeprazole prevented more rebleeds than cimetidine Level of evidence 1b Expiry Date October 2002 Upper GI bleed no clear benefit from adding ethanolamine to epinephrine for injection therapy for bleeding peptic ulcer. Level of evidence 1b- Expiry Date October 2002 Upper GI bleed peptic ulcer: no clear benefit from adding polidocanol to epinephrine for injection therapy Level of evidence 1b- Expiry Date October 2002 Upper GI bleed peptic ulcers: an aggressive surgical policy increased operations but had no clear effect on survival Level of evidence 1b Expiry Date October 2002 Upper GI bleed peptic ulcer: treating H. pylori infections reduced recurrence more effectively than long-term ranitidine Level of evidence 1b Expiry Date October 2002 Upper GI bleed peptic ulcer: endoscopic retreatment of rebleeds caused fewer complications than surgery Level of evidence 1b Expiry Date December 2002 Upper GI bleed bleeding duodenal ulcer: gastrectomy prevented rebleeding and reoperation better than oversewing and vagotomy Level of evidence 2b Expiry Date October 2002 Upper GI bleed endoscopic injections of epinephrine in patients with peptic ulcer reduced the need for emergency surgery Level of evidence 1b Expiry Date November 2002