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. 2014 Oct;28(9):495–501. doi: 10.1155/2014/252307

TABLE 1.

Endoscopy and pharmacotherapy in ulcer and nonvariceal nonulcer upper gastrointestinal bleeding

Endoscopic findings Endoscopic hemostasis Post-endoscopic IV PPI*


Total, n Any endoscopic hemostasis, n Epinephrine injection monotherapy, % Combination therapy, % Total, n High-dose postendoscopic IV PPI, % Duration of IV PPI§, %

24 h 48 h 72 h
All ulcers 967 403 14.7 13.8 609 94.3 96.2 94.2 93.6
Ulcers (HRS and LRS) 707 348 17.0 17.3 453 94.3 96.3 94.2 93.7
  HRS 462 323 23.8 25.5 296 96.0 97.7 96.2 95.8
  LRS 245 25 4.1 1.6 157 91.1 93.3 90.0 89.2
Ulcers without documented stigmata 260 55 8.5 4.2 156 94.2 95.7 94.0 93.2
All NVNU lesions** 566 135 5.7 2.7 361 88.6
NVNU lesions (HRS and LRS) 167 76 10.8 6.6 111 95.5
  HRS 157 76 11.5 7.0 103 95.2
  LRS 10 0 0.0 0.0 8 100.0
NVNU without documented stigmata 399 59 3.5 1.0 250 85.6
Total (ulcer and NVNU) 1533 538 11.4 9.7 970 92.2
Total (HRS and LRS) 874 424 15.8 15.2 564 94.5
  Total HRS 619 399 20.7 20.8 399 95.7
  Total LRS 25 25 3.9 1.6 165 91.5
Total without documented stigmata 659 114 5.5 2.3 406 88.9
*

Postendoscopic intravenous (IV) proton pump inhibitor (PPI) includes IV PPI therapy started after endoscopic therapy or continued if previous started pre-endoscopy;

Total number of patients who received postendoscopic PPI excluding those with missing information;

High-dose IV PPI defined as 80 mg IV bolus followed by 8 mg/h infusion started after endoscopic therapy or continued if started pre-endoscopy;

§

Data reported only for ulcer bleeding;

Includes ulcers with high-risk stigmata (HRS), ulcers with low-risk stigmata (LRS) and ulcers without documentation of stigmata;

**

Includes nonvariceal nonulcer (NVNU) lesions with HRS, NVNU lesions with LRS and NVNU lesions without documentation of stigmata