A 60-year-old man on long-term NSAIDs for osteoarthritis presents with melaena and epigastric pain. He is haemodynamically stable. Oesophagogastroduod...

Question

A 60-year-old man on long-term NSAIDs for osteoarthritis presents with melaena and epigastric pain. He is haemodynamically stable. Oesophagogastroduodenoscopy confirms a bleeding duodenal ulcer with a visible vessel, which is treated endoscopically. According to NICE dyspepsia guidance, what is the most appropriate subsequent management to reduce rebleeding?

Accepted Answer

Start a high-dose intravenous proton pump inhibitor followed by high-dose oral therapy.

Answer

Stop all acid suppression and repeat endoscopy in 1 week.

Answer

Start H₂-receptor antagonist at standard dose.

Answer

No further treatment is required after endoscopic therapy.

Answer

Treat with antacids as required only.

uk-plab-1 MCQ (SBA): Peptic ulcer disease with bleeding