Question

A 50-year-old has persistent upper GI bleeding despite epinephrine injection at index lesion. What is the appropriate next step in endoscopic therapy?

Accepted Answer

Add a second modality (thermal coagulation or hemoclips)

Answer

No further therapy is needed

Answer

Start octreotide and avoid further endoscopy

Answer

Switch to H2-receptor antagonist

Answer

Proceed to elective surgery without re-attempt

Practice question

A 50-year-old has persistent upper GI bleeding despite epinephrine injection at index lesion. What is the appropriate next step in endoscopic therapy?