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Complicated peptic ulcer is a common disease worldwide, involving several professionals in its multimodal management. Surgery and laparoscopy are currently the main stem of the treatment of PPU. Medical treatment and Endoscopy are the cornerstone for the challenging approach the patients with bleeding peptic ulcers. A thorough review of the current evidence on diagnosis and management of both perforated peptic ulcers and bleeding peptic ulcers is performed. The 2013 suggestions and recommendations from the World Society of Emergency Surgery panel of experts on this field is provided.

Diagnosis and treatment of perforated or bleeding peptic ulcers: 2013 WSES position paper