Nonendoscopic management of peptic ulcer bleeding

What is the nonendoscopic management of peptic ulcer bleeding? 

IV proton pump inhibitor (PPI) bolus and infusion preendoscopy decreases the number of patients with high-risk stigmata at endoscopy and the need for endoscopic treatment, although it has not been shown to decrease related outcomes, including rebleeding, need for surgery, and mortality. Preendoscopy IV PPI is likely to be most beneficial in patients with significant, active bleeding or multiple high-risk features.

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