Efficacy of Low Dose of Proton Pump Inhibitor in Treatment Bleeding Ulcers

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