Patients with peptic ulcers

doi:10.1136/bmj.b1932

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Ian L Beales, clinical senior lecturer in gastroenterology1

¹Department of Gastroenterology, Norfolk and Norwich University Hospital, Norwich, NR4 7UZ

i.beales{at}uea.ac.uk

Although the benefits of primary prevention of gastrointestinal bleeding with a proton pump inhibitor in all patients taking aspirin and clopidogrel are questionable, Chua and Ignaszewski should have emphasised the importance of a history of peptic ulcer as a …