Question

A 64-year-old develops massive hematemesis with hypotension. After resuscitation, endoscopy shows spurting arterial bleeding from a duodenal ulcer treated with clips and epinephrine. What adjunct therapy reduces rebleeding?

Accepted Answer

High‑dose IV PPI infusion for 72 hours

Answer

endoscopy shows spurting arterial bleeding from a duodenal ulcer treated with clips and epinephrine. What adjunct therapy reduces rebleeding?

Answer

No acid suppression needed

Answer

H2 blocker infusion

Answer

Routine octreotide for all nonvariceal bleeds

Practice question

A 64-year-old develops massive hematemesis with hypotension. After resuscitation, endoscopy shows spurting arterial bleeding from a duodenal ulcer treated with clips and epinephrine. What adjunct therapy reduces rebleeding?