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UGIB Rebleeding Strategies — ESEGH MCQ

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Hard"Gastroenterology"UGIB Rebleeding StrategiesESEGH

A 50‑year‑old man with non‑variceal upper gastrointestinal bleeding undergoes successful endoscopic hemostasis. Regarding second‑look endoscopy, current UK practice recommends:

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Correct answer: E — Repeat endoscopy for clinical rebleeding or concern about initial haemostasis

The best answer is “Repeat endoscopy for clinical rebleeding or concern about initial haemostasis”. Second‑look endoscopy only if clinical re‑bleeding occurs or there is concern about initial haemostasis The alternatives “Routine second‑look endoscopy for all high‑risk ulcers, after multidisciplinary assessment”, “Mandatory second‑look endoscopy within 12 hours, when clinically appropriate”, “Avoid PPI if second‑look is planned, after specialist review”, “Discharge immediately after endoscopy without PPI, within a guideline-based pathway” are plausible in related gastroenterology presentations but do not match the defining finding, threshold, sequence or UK pathway in this stem.

Reference: NICE CG141 acute upper gastrointestinal bleeding: https://www.nice.org.uk/guidance/cg141/chapter/Recommendations