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However, because treatment of established bleeding is unsatisfactory, and associated with a high mortality, prophylactic measures are usually employed. These include optimising gastric mucosal blood flow and oxygen delivery, correcting coagulation abnormalities and treating underlying infection. Enteral feeding should also be employed whenever possible. Other prophylactic measures currently used involve raising gastric pH above 4, with either antacids or H\n                    <jats:sub>2<\/jats:sub>\n                    receptor antagonists. This is best achieved by measuring the gastric pH hourly and titrating it against an appropriate dose of either type of drug or a combination of both. Newer drugs, such as omeprazole, sucralfate and prostaglandins, are proving very successful in the treatment and prevention of gastric and duodenal ulcers and may prove even more effective than currently available agents.\n                  <\/jats:p>","DOI":"10.1177\/0310057x8501300302","type":"journal-article","created":{"date-parts":[[2019,1,16]],"date-time":"2019-01-16T03:43:58Z","timestamp":1547610238000},"page":"230-240","source":"Crossref","is-referenced-by-count":25,"title":["Acute Stress Ulceration"],"prefix":"10.1177","volume":"13","author":[{"given":"K.","family":"Hillman","sequence":"first","affiliation":[{"name":"Intensive Care Unit, The Liverpool Hospital, Sydney, New South Wales"},{"name":"Director Anaesthesia and Intensive 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