Bleeding peptic ulcer





Epidemiology

  • Incidence: 15.00 cases per 100,000 person-years
  • Peak incidence: 70+ years
  • Sex ratio: more common in males 1.3:1
Condition Relative
incidence
Bleeding peptic ulcer1
Perforated peptic ulcer0.47
<1 1-5 6+ 16+ 30+ 40+ 50+ 60+ 70+ 80+

Clinical features

Signs
Investigations

Management

Management
  • ABC approach as with any upper gastrointestinal haemorrhage
  • IV proton pump inhibitor
  • the first-line treatment is endoscopic intervention
  • if this fails (approximately 10% of patients) then either:
    • urgent interventional angiography with transarterial embolization or
    • surgery