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Upper gastrointestinal bleed

Prevalence
Causes
Clinical features
Investigations
Therapy
Prevention
Prognosis
Prevention

Erosions

If patients need to continue NSAIDs, consider H. pylori eradication therapy for infected patients without ulcers a

Why?

  • Eradication therapy reduces development on peptic ulcers a

Eradication therapy reduces peptic ulcers in patients starting long-term NSAIDs

Patient Treatment Comparison Outcome CER RRR
(95% CI)
NNT
(95% CI)
H.pylori infection starting NSAIDs a H. pylori eradication therapy placebo peptic ulcer on endoscopy
at 8 weeks
26% 74%
(14% to 92%)
5
(3 to 23)
 

Expiry date: July 2003
Levels of Evidence used in grading these guides

Author   A   Townsend , CM   Ball
Reviewer   L   Friedman
CAT Writers   A   Townsend , CM   Ball , CJ   Wotton