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Upper gastrointestinal bleed

Prevalence
Causes
Clinical features
Investigations
Therapy
Prevention
Prognosis
Prevention

Ulcers and erosions

Continue giving proton-pump inhibitors for at least 8 weeks. a

Why?

  • Both lansoprazole a and pantoprazole a heal ulcers more effectively than ranitidine.

Peptic ulcer: lansoprazole and pantoprazole heal ulcers more effectively than ranitidine

Patient Treatment Comparison Outcome CER RBI
(95% CI)
NNT
(95% CI)
on long-term NSAIDs with gastric ulcers a lansoprazole ranitidine healed ulcer
at 8 weeks
53% 33%
(10% to 61%)
6
(4 to 15)
duodenal ulcer a pantoprazole ranitidine healed ulcer
at 4 weeks
63% 43%
(22% to 67%)
4
(3 to 6)


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