Question

A 58-year-old with UGIB due to high-risk peptic ulcer received endoscopic hemostasis. What post-endoscopic PPI strategy is recommended?

Accepted Answer

H2 blocker infusion 72 hours

Answer

No PPI needed after successful therapy

Answer

High-dose PPI (e.g., 80 mg bolus then 8 mg/h infusion for 72 hours or intermittent high-dose)

Answer

Short course antacids only

Answer

Stop acid suppression to assess rebleeding risk

Practice question

A 58-year-old with UGIB due to high-risk peptic ulcer received endoscopic hemostasis. What post-endoscopic PPI strategy is recommended?