• Objective: To determine whether dissemination of inpatient practice guidelines for Helicobacter pylori management improves the testing and treatment rates of patients admitted with acute upper gastrointestinal (GI) bleeding from gastric or duodenal ulcers. • Design: Prospective, non-randomized, interventional

Bleeding peptic ulcers of the oesophagus account for about 4% of admissions for acute upper gastrointestinal bleeding.1"2 Further bleeding during the same admission will occur in one-third of these patients.2 After resuscitation, patients should be given intensive anti-reflux treatment. The ulcer should be biopsied, although carcinoma rarely presents with acute bleeding.1'2 Recurrent bleeding o...

OBJECTIVE Endoscopy has traditionally been used to risk-stratify patients with upper gastrointestinal bleeding (UGIB). This is problematic in resource-poor environments. The study aimed to identify patients who would not require urgent endoscopy by identifying clinical variables before endoscopy that predict uneventful recovery. DESIGN Prospective, descriptive cross-sectional study. SETTING...

Acute upper gastrointestinal bleeding is a relatively common,potentially life-threatening condition that causes more than 300,000 hospital admissions and about 30,000 deaths per annum in America. Esophagogastroduodenoscopy is the procedure of choice for the diagnosis and therapy of upper gastrointestinal bleeding lesions. Endoscopic therapy is indicated for lesions with high risk stigmata of re...

BACKGROUND Studies evaluating the effect of erythromycin on patients with acute upper gastrointestinal bleeding (UGIB) had been reported, but the results were inconclusive. AIMS To compare erythromycin with control in patients with acute UGIB by performing a meta-analysis. METHODS Electronic databases including PubMed, EMBASE and the Cochrane Library, Science Citation Index, were searched t...

BACKGROUND Upper gastrointestinal (GI) bleeding is one of the most common, high risk emergency disorders in the western world. Almost nothing has been reported on longer term prognosis following upper GI bleeding. The aim of this study was to establish mortality up to three years following hospital admission with upper GI bleeding and its relationship with aetiology, co-morbidities and socio-de...