Peptic Ulcer Hemorrhage Clinical Trial
Official title:
Phase 4 Study of Intravenous Proton Pump Inhibitor in Patients With Peptic Ulcer Bleeding After Successful Endoscopic Therapy- a Prospective Randomized Comparative Trial
A large dose of PPI is effective in preventing peptic ulcer rebleeding. The investigators hypothesize that 40 mg/q6h pantoloc is equivalent to 8mg/h pantoloc in preventing rebleeding.
A bleeding peptic ulcer remains a serious medical problem with significant morbidity and
mortality. Endoscopic therapy significantly reduces further bleeding, surgery, and mortality
in patients with bleeding peptic ulcers and is now recommended as the first hemostatic
modality for these patients.
In the past few years, adjuvant use of a high-dose proton pump inhibitor (PPI) after
endoscopic therapy has been endorsed in some studies, two consensus statements and two
meta-analysis. In our previous experience, we used omeprazole 160 mg /day infusion instead
of 8 mg/h in these patients and obtained a good result .
The objectives of this study are to assess the outcomes of two different regimens of high
dose of intravenous pantoprazole after endoscopic therapy in patients with peptic ulcer
bleeding.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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