Value of Oral Proton Pump Inhibitors in Acute, Nonvariceal Upper Gastrointestinal Bleeding: A Network Meta-Analysis.

Author: DonathElie, RodriguezEduardo A, SussmanDaniel A, WaljeeAkbar K

Paper Details 
Original Abstract of the Article :
BACKGROUND: Intravenous (IV) proton pump inhibitors (PPI) are the standard medical treatment in acute nonvariceal upper gastrointestinal bleeding (ANVGIB). Optimal route of PPI delivery has been questioned. AIM: The aim was to perform a systematic review and network meta-analysis for the endpoints ...See full text at original site
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引用元:
https://doi.org/10.1097/MCG.0000000000000625

データ提供:米国国立医学図書館(NLM)

Oral Proton Pump Inhibitors for Acute, Nonvariceal Upper Gastrointestinal Bleeding: A Network Meta-Analysis

This research investigates a common medical concern – acute, nonvariceal upper gastrointestinal bleeding (ANVGIB). The study, employing a network meta-analysis, sought to compare the effectiveness of different acid-suppressing medications, including intravenous (IV) and oral proton pump inhibitors (PPIs) and H2-receptor antagonists, in treating ANVGIB. The researchers found that scheduled IV PPIs were as effective as IV PPI drip for most outcomes, while oral PPIs were comparable to IV scheduled PPIs for length of stay and total units of blood transfused, and even superior to IV PPI drip for the risk of re-bleeding. This research suggests that oral PPIs may be a valuable alternative to IV PPIs in the management of ANVGIB, potentially simplifying treatment and reducing costs without compromising effectiveness.

Oral Proton Pump Inhibitors: A Potential Alternative for Upper Gastrointestinal Bleeding

This study offers promising evidence for the use of oral proton pump inhibitors (PPIs) in treating acute, nonvariceal upper gastrointestinal bleeding (ANVGIB). The research found that oral PPIs are comparable to intravenous (IV) scheduled PPIs in terms of length of stay and total units of blood transfused, and even outperformed IV PPI drip in reducing the risk of re-bleeding. This suggests that oral PPIs could offer a more convenient and potentially cost-effective alternative to IV PPIs in managing this condition.

Navigating the Gastrointestinal Desert: Finding Effective Treatments for Bleeding

Imagine acute, nonvariceal upper gastrointestinal bleeding as a desert, a challenging terrain where bleeding can quickly escalate. This research provides insights into the most effective pathways for navigating this desert, suggesting that oral proton pump inhibitors (PPIs) offer a viable alternative to intravenous (IV) PPIs in treating this condition. This research suggests that oral PPIs could offer a smoother and more accessible path through this challenging terrain, potentially leading to better outcomes for patients.

Dr.Camel's Conclusion

This study suggests that oral proton pump inhibitors (PPIs) could offer a valuable alternative to intravenous (IV) PPIs in treating acute, nonvariceal upper gastrointestinal bleeding. While IV PPIs remain a standard treatment, the research indicates that oral PPIs may be as effective, potentially simplifying treatment and reducing costs without compromising patient outcomes.

Date :
  1. Date Completed 2018-05-01
  2. Date Revised 2018-12-02
Further Info :

Pubmed ID

27505402

DOI: Digital Object Identifier

10.1097/MCG.0000000000000625

Related Literature

SNS
PICO Info
in preparation
Languages

English

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