Omar E. Trujillo-Benavides 1
, Gretel B. Casillas-Guzmán 2 
1 Servicio de Gastroenterología y Endoscopia Gastrointestinal, Hospital General de Zona 42, Instituto Mexicano del Seguro Social (IMSS), Puerto Vallarta, Jalisco, México; 2 Servicio de Endoscopia Gastrointestinal, Hospital de Especialidades Centro Médico Nacional Siglo XXI, IMSS, Ciudad de México. México
*Correspondence: Omar E. Trujillo-Benavides. Email: omaredel@hotmail.com
This chapter synthesizes the updated evidence and proposes integrated algorithms for the management of peptic ulcer bleeding. It discusses initial assessment, hemodynamic stabilization, risk stratification, diagnostic and therapeutic endoscopy, periendoscopic pharmacologic strategies, management of recurrent bleeding, and second-line options. The main recommendations are supported by international guidelines and high-quality clinical studies.
Content available only in Spanish.
Content available only in Spanish.