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Determining the efficacy of low dose of PPI in management acute peptic ulcer bleeding
Determining the efficacy of low dose meaning 40 mg of omeprazole twice in management acute peptic ulcer bleeding
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low Dose PPI | patients with upper upper gastrointestinal bleeding were treated in low dose of proton Bump inhibitor meaning 40 mg twice daily |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Omeprazole 40 MG | Drug | Omperazole 40 mg twice daily |
|
| Measure | Description | Time Frame |
|---|---|---|
| Morality | Determination of mortality rate from ulcer bleeding | within 1 week |
| Measure | Description | Time Frame |
|---|---|---|
| Rebleeding | Determination of the percentage of the return of bleeding represented by recurrent melena (black, tarry stool) or recurrent Hematemesis or coffee-ground emesis or recurrent hematochezia after begin treatment | within 1 week |
| need for surgery |
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Criteria:
Inclusion Criteria:
High risk ulcers defined according to the Forrest classification With respect to high-risk stigmata, active bleeding was defined as a continuous blood spurting (Forrest IA) oozing (Forrest IB) from the ulcer base. A non-bleeding visible vessel at endoscopy was defined as a discrete protuberance at the ulcer base(Forrest IIA).
An adherent clot was one that was resistant to forceful irrigation or suction (Forrest IIB).
Exclusion Criteria:
ulcer was malignant non ulcerative bleeding such as angiodysplasia , a Mallory-Weiss tear
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Patients admitted to the gastrointestinal department of damascus hospital
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Damascus Hospital | Damascus | +963 | Syria |
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| ID | Term |
|---|---|
| D010437 | Peptic Ulcer |
| D010438 | Peptic Ulcer Hemorrhage |
| ID | Term |
|---|---|
| D004378 | Duodenal Diseases |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| D009853 | Omeprazole |
| ID | Term |
|---|---|
| D053799 | 2-Pyridinylmethylsulfinylbenzimidazoles |
| D013454 | Sulfoxides |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
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Determine the Surgery rate for treatment Bleeding ulcers within a week |
| within 1 week |
| Length of hospital stay | Determining the length of stay in the hospital | within 1 month |
| Blood transfusions | number of transfusion blood unites during admission | within 1 week |
| D013272 | Stomach Diseases |
| D006471 | Gastrointestinal Hemorrhage |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D011725 |
| Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D001562 | Benzimidazoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |