Question

A 68-year-old man with a history of NSAID use presents with melaena, tachycardia and hypotension. He is resuscitated with IV fluids and blood. Endoscopy confirms a bleeding duodenal ulcer which is treated endoscopically. What is the most appropriate post-endoscopy medication regimen?

Accepted Answer

High-dose IV proton pump inhibitor infusion for 72 hours then oral therapy

Answer

Oral proton pump inhibitor once daily for 3 days

Answer

No acid suppression is required after successful endoscopic therapy

Answer

Sucralfate alone

Answer

H2-receptor antagonist alone

Practice question

A 68-year-old man with a history of NSAID use presents with melaena, tachycardia and hypotension. He is resuscitated with IV fluids and blood. Endoscopy confirms a bleeding duodenal ulcer which is treated endoscopically. What is the most appropriate post-endoscopy medication regimen?