Duodenal ulcer with bleeding managed conservatively. Which treatment will he successful of the following?: (A) PPI + Bismuth + Tetracycline + Metrogyl, (B) PPI + Amoxycillin + Clarithromycin, (C) PPI + Clarithromycin + Bismuth, (D) PPI + Metrogyl
Answer is B. Ans. (b) PPI+ Amoxycillin+ ClarithromycinRef: Sabiston 20th Edition, Page 1201* 90% of duodenal ulcers are associated with H. pylori, hence eradication therapy is advised for 14 days* US FDA Approved regimen LAC--Lansoprazole, Amoxycillin and Clarithromycin