Question

A 63-year-old man with non-variceal UGIB continues to bleed after initial endoscopic therapy. Next endoscopic step?

Accepted Answer

Repeat endoscopic hemostasis; consider over-the-scope clip or hemostatic powder

Answer

Proceed directly to surgery without repeat endoscopy

Answer

Start octreotide for all non-variceal bleeds

Answer

No further endoscopy; start H2 blocker

Answer

Interventional radiology is contraindicated

Practice question

A 63-year-old man with non-variceal UGIB continues to bleed after initial endoscopic therapy. Next endoscopic step?