Which is the most appropriate initial treatment for Bleeding duodenal ulcer?
Answer and explanation
Correct answer: B. Endoscopic haemostasis with an intravenous proton pump inhibitor
- Step 1: Bleeding duodenal ulcer is treated with endoscopic haemostasis with an intravenous proton pump inhibitor.
Answer
Endoscopic haemostasis with an intravenous proton pump inhibitor.
Why not the others: 'Oral antacids and discharge': this ignores active bleeding. 'Balloon tamponade of the oesophagus': it is used for variceal bleeding. 'Laparotomy as the first step': endoscopy comes first and surgery is for failure.
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