- Resuscitation and stabilization, initiation of medical therapy with an intravenous proton pump inhibitor
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- Assessment of onset and severity of bleeding
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- Pre-endoscopic administration of erythromycin
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- Diagnostic endoscopy
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- Preparation for emergent upper endoscopy
- Localization and identification of the bleeding site
- Identification of stigmata of recent hemorrhage
- Stratification of the risk for rebleeding
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- Therapeutic endoscopy
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- Control of active bleeding or high-risk lesions
- Minimization of treatment-related complications
- Treatment of persistent or recurrent bleeding
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