 - Upper GI bleeding caused by peptic ulcer, in which cases urgent endoscopy identify an ulcer with one of the following stigmata of recent haemorrhage: 1 active arterial bleeding jet or oozing hemorrhage2 non-bleeding visible vessel, 3 clot attached, 4 indirect signs of bleeding spots deep ulcer, and 5 ulcer without signs and evidence of blood remains in the gastric lumen without other potentially bleeding lesions. 