Role of proton pump inhibitors in the management of peptic ulcer bleeding

• 作者: Hwai-Jeng Lin
• 来源期刊: 世界胃肠药理与治疗学杂志：英文版（电子版）
• 学科: 医学
• 关键词: PROTON pump inhibitor PEPTIC ULCER BLEEDING Re-bleeding HEMOSTASIS Endoscopic therapy
• 年，卷（期）: sjwcylyzlxzzywbdzb,（2）
• 页码范围: 51-53
• 页数: 3页
• 分类号: R573.1

摘要

Peptic ulcer bleeding is a serious medical problem with significant morbidity and mortality.Endoscopic therapy significantly reduces further bleeding,surgery and mortality in patients with bleeding peptic ulcers and is now recommended as the first hemostatic modality for these patients.The efficacy of large-dose proton pump inhibitor(PPI) therapy in reducing re-bleeding after endoscopic therapy has been supported by evidence derived from randomized controlled trials.It may be premature to recommend small-dose intravenous injection PPI after endoscopic hemostasis in patients with bleeding ulcers.An updated systematic review shows that PPI therapy before endoscopy significantly reduces the proportion with major stigmata and requirement for endoscopic therapy at index endoscopy.Some studies show that there is no significant difference between oral and intravenous PPIs in raising intragastric pH.However,clinical data is lacking in patients with peptic ulcer bleeding to date.