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

Gut and Liver 2020³â 14±Ç 6È£ p.707 ~ 726
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ÁÖ¹®°æ ( Joo Moon-Kyung ) - Korea University College of Medicine Korea University Guro Hospital Department of Internal Medicine
¹ÚÂùÇõ ( Park Chan-Hyuk ) - Hanyang University College of Medicine Hanyang University Guri Hospital Department of Internal Medicine
±èÁؼº ( Kim Joon-Sung ) - Catholic University College of Medicine Incheon St. Mary¡¯s Hospital Department of Internal Medicine
¹ÚÀç¸í ( Park Jae-Myung ) - Catholic University College of Medicine Seoul St. Mary¡¯s Hospital Department of Internal Medicine
¾ÈÁö¿ë ( Ahn Ji-Yong ) - University of Ulsan College of Medicine Asan Medical Center Department of Gastroenterology
À̺ÀÀº ( Lee Bong-Eun ) - Pusan National University School of Medicine Department of Internal Medicine
ÀÌÁ¤ÈÆ ( Lee Jeong-Hoon ) - University of Ulsan College of Medicine Asan Medical Center Department of Gastroenterology
¾çÈ¿ÁØ ( Yang Hyo-Joon ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Internal Medicine
Á¶À¯°æ ( Cho Yu-Kyung ) - Catholic University College of Medicine Seoul St. Mary¡¯s Hospital Department of Internal Medicine
¹æÃ¢¼® ( Bang Chang-Seok ) - Hallym University College of Medicine Department of Internal Medicine
±è¹üÁø ( Kim Beom-Jin ) - Chung-Ang University College of Medicine Department of Internal Medicine
Á¤Çý°æ ( Jung Hye-Kyung ) - Ewha Womans University College of Medicine Department of Internal Medicine
±èº´¿í ( Kim Byung-Wook ) - Catholic University College of Medicine Incheon St. Mary¡¯s Hospital Department of Internal Medicine
ÀÌ¿ëÂù ( Lee Yong-Chan ) - Yonsei University College of Medicine Department of Internal Medicine

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.

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

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