Question

A 73-year-old presents with melena. Hemodynamics stable. Hb 7.8 g/dL. What PPI strategy before endoscopy is suggested?

Accepted Answer

Give high-dose IV PPI (e.g. 80 mg bolus) prior to endoscopy

Answer

Oral antacids only and sucralfate are inferior for acute UGIB.

Answer

Withhold PPI pre-endoscopy

Answer

Give H2 blocker

Answer

Sucralfate only

Practice question

A 73-year-old presents with melena. Hemodynamics stable. Hb 7.8 g/dL. What PPI strategy before endoscopy is suggested?