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Editorial
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Volume 340:799-801 March 11, 1999 Number 10
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Management of Severe Ulcer Rebleeding

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 by Lau, J. Y.W.
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The number of patients hospitalized for upper gastrointestinal bleeding from ulcers has decreased substantially in recent years. The decrease reflects a variety of factors: the widespread use of histamine H2–receptor blockers and proton-pump inhibitors, the eradication of Helicobacter pylori in patients with ulcers, and increased awareness among patients with ulcers of the potential dangers of taking nonsteroidal antiinflammatory drugs. Nonetheless, severe upper gastrointestinal bleeding remains a common medical emergency.1

In the past two decades, the responsibility for the initial diagnosis and treatment of gastrointestinal bleeding has shifted in most medical centers from general surgeons and radiologists to gastrointestinal endoscopists.2 . . . [Full Text of this Article]

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