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- Lotte Dinesen and Martin Benson.
- Department of Gastroenterology, Chelsea and Westminster Hospital, London. lotte.dinesen@chelwest.nhs.uk
- Clin Med. 2012 Dec 1; 12 (6): 589593589-93.
AbstractAAUs should develop and review protocols and local guidelines for the multidisciplinary team management of upper GI bleeding, for example with respect to: Early and appropriate resuscitation. Use of the tools for assessing severity. Timing of endoscopy, including recognising low-risk patients who could be discharged for outpatient investigation. Postendoscopy drug treatment, including appropriate and limited use of iv PPIs and Helicobacter pylori eradication therapy. Follow up, including referral for repeat endoscopy and/or urea breath testing. Regular review and audit of local guidance of the management of UGIB should become an integral part of an acute trust's clinical governance programme.
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