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Evidence-based clinical practice guidelines for peptic ...
peptic ulcers. Recommendation 1, 100 % agreed, evidence level A. Comment: Compared with placebo, intravenous PPI ther-apy after endoscopic treatment for hemorrhagic peptic ulcers has been proven to reduce the rate of re-bleeding, the volume of blood transfusion, the period of admission, and the rate of converting to surgery in two meta-analyses [9,
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www.esge.comMR8. ESGE recommends that peptic ulcers with spurting or oozing bleeding (Forrest classification IaandIb,respectively)or withanonbleeding visi-ble vessel (Forrest classification IIa) receive endo-scopic hemostasis because these lesions are at high risk for persistent bleeding or rebleeding (strongrecommendation,highqualityevidence).
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