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Preventing ulcer bleedingPatients at high risk of ulcer bleeding and who need anti-inflammatory analgesics should receive a proton pump inhibitor and a cyclo-oxygenase-2 inhibitor, say researchers. They compared celecoxib plus esomeprazole with celecoxib alone in 273 patients. After 13 months, 12 cases of recurrent ulcer bleeding had occurred, all in patients assigned to celecoxib alone (Lancet 2007;369:1621). |