Letters Acute gastrointestinal bleeding

Firstly, improve availability of endoscopy

BMJ 2008; 337 doi: http://dx.doi.org/10.1136/bmj.a2385 (Published 03 November 2008) Cite this as: BMJ 2008;337:a2385
  1. Mohammed A Butt, specialty registrar 3, gastroenterology1,
  2. Umair A Mohammed, medical student1,
  3. Anne B Ballinger, consultant gastroenterologist1
  1. 1Queen Elizabeth the Queen Mother Hospital, Margate, East Kent CT9 4AN
  1. adilbutt{at}doctors.org.uk

    The SIGN guidelines summarised by Palmer and Nairn recommend that proton pump inhibitors (PPIs) should not be used before endoscopic therapy and that early endoscopic examination be performed within 24 hours of admission, where possible.1

    A randomised controlled trial cited in the SIGN guidelines found …

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