A 63-year-old woman with a history of bleeding ulcer asks about restarting antiplatelet therapy after endoscopic hemostasis for high-risk stigmata. Sh...

Question

A 63-year-old woman with a history of bleeding ulcer asks about restarting antiplatelet therapy after endoscopic hemostasis for high-risk stigmata. She requires aspirin for secondary prevention. Recommendation?

Accepted Answer

Resume aspirin within 24 hours with high-dose PPI

Answer

Delay aspirin for 14 days

Answer

Stop aspirin permanently

Answer

Switch to clopidogrel alone to reduce bleeding

Answer

Resume aspirin only after repeat endoscopy at 72 hours

us-abim MCQ (SBA): Antiplatelet management in UGIB

A 63-year-old woman with a history of bleeding ulcer asks about restarting antiplatelet therapy after endoscopic hemostasis for high-risk stigmata. She requires aspirin for secondary prevention. Recommendation?