Clinical Guidelines for Drug-Related Peptic Ulcer, 2020 Revised Edition

Gut Liver. 2020 Nov 15;14(6):707-726. doi: 10.5009/gnl20246.

Abstract

Korean guidelines for nonsteroidal anti-inflammatory drug (NSAID)-induced peptic ulcer were previously developed in 2009 with the collaboration of the Korean College of Helicobacter and Upper Gastrointestinal Research and Korean Society of Gastroenterology. However, the previous guidelines were based mainly upon a review of the relevant literature and expert opinion. Therefore, the guidelines need to be revised. We organized a guideline Development Committee for drug-related peptic ulcer under the auspices of the Korean College of Helicobacter and Upper Gastrointestinal Research in 2017 and developed nine statements, including four for NSAIDs, three for aspirin and other antiplatelet agents, and two for anticoagulants through a de novo process founded on evidence-based medicine that included a literature search and a meta-analysis, A consensus was reached through the application of the modified Delphi method. The primary target of these guidelines is adult patients undergoing long-term treatment with NSAIDs, aspirin or other antiplatelet agents and anticoagulants. The revised guidelines reflect the expert consensus and is intended to assist clinicians in the management and prevention of druginduced peptic ulcer and associated conditions.

Keywords: Anticoagulants; Antiplatelet agent; Guideline; Non-steroidal anti-inflammatory agents; Peptic ulcer.

Publication types

  • Review

MeSH terms

  • Adult
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Helicobacter Infections / drug therapy
  • Helicobacter pylori
  • Humans
  • Peptic Ulcer* / chemically induced
  • Peptic Ulcer* / drug therapy
  • Pharmaceutical Preparations
  • Practice Guidelines as Topic
  • Proton Pump Inhibitors / therapeutic use

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Pharmaceutical Preparations
  • Proton Pump Inhibitors