Hemostatic Forceps vs. Bipolar Electrocautery Probes for High-Risk Bleeding Gastroduodenal Ulcers

This study is comparing two standard tools used to stop bleeding from stomach or duodenal ulcers (peptic ulcer disease) during an endoscopy: hemostatic forceps versus bipolar electrocautery probes. Both are used during upper GI bleeding emergencies, and this study aims to determine which works better. **You may be eligible if...** - You are 18 or older - You are experiencing upper gastrointestinal bleeding from a stomach or duodenal ulcer - Your ulcer requires intervention to stop bleeding based on its appearance (active bleeding, visible blood vessel, or clot over an ulcer that hides active bleeding) **You may NOT be eligible if...** - Your blood platelets are too low (under 50,000) or your blood clotting is abnormal (INR above 1.5) - Your bleeding is coming from a cancerous ulcer - You have had prior stomach surgery - You have had a bleeding ulcer within the past 30 days - You are allergic to proton pump inhibitor medications (such as omeprazole) - You are pregnant Talk to your doctor to see if this trial is right for you.