A 65-year-old with AF and previous stroke presents with a non-bleeding gastric ulcer on OGD. He is on apixaban. What is the best approach to antithrom...

Question

A 65-year-old with AF and previous stroke presents with a non-bleeding gastric ulcer on OGD. He is on apixaban. What is the best approach to antithrombotic therapy during acute ulcer management?

Accepted Answer

Temporarily interrupt DOAC, start PPI, and resume once haemostasis achieved

Answer

Stop apixaban permanently

Answer

Switch to warfarin immediately

Answer

Continue DOAC without change

Answer

Add aspirin

mrcp part 1 MCQ (SBA): Peptic Ulcer and Anticoagulation

A 65-year-old with AF and previous stroke presents with a non-bleeding gastric ulcer on OGD. He is on apixaban. What is the best approach to antithrombotic therapy during acute ulcer management?