ASGE Adult and Pediatric Gastroenterology and Endoscopy Board Preparatory and Review Course | 2022-Sengupta UGI Bleed, Peptic ulcer disease, and H pylori therapy

Sengupta UGI Bleed, Peptic ulcer disease, and H pylori therapy

Pdf Summary

Summary:<br /><br />This document focuses on various topics related to upper gastrointestinal bleeding (UGIB), peptic ulcers, Helicobacter pylori (H. pylori) infection, and their management. It presents several challenge questions related to patient cases and provides options for their appropriate management. <br /><br />The document highlights the importance of resuscitation and volume replacement in UGIB cases before proceeding with endoscopy. It discusses risk assessment tools for UGIB, such as the Glasgow Blatchford Score. The use of erythromycin in improving mucosal visualization and reducing length of hospital stay is mentioned. It also emphasizes the role of endoscopic therapy for active bleeding and recurrent bleeding after initial therapy.<br /><br />Regarding the management of peptic ulcers, the document suggests using proton pump inhibitors (PPIs) as the mainstay treatment and excluding Zollinger Ellison Syndrome (ZES) in certain clinical situations. It also emphasizes the need for confirming eradication of H. pylori after treatment, as it can reduce the risk of gastric cancer.<br /><br />Additionally, the document covers topics such as the management of MALT lymphoma associated with H. pylori infection, refractory H. pylori infections, and autoimmune gastritis.<br /><br />Overall, the document provides a concise overview of the mentioned topics and presents key points and recommendations for their management.

Keywords

upper gastrointestinal bleeding

peptic ulcers

Helicobacter pylori infection

management

resuscitation

endoscopy

proton pump inhibitors

Zollinger Ellison Syndrome

gastric cancer

MALT lymphoma