A 49- year-old man presented with an attack of hematemesis
was admitted to our hospital. The patient is on regular hemodialysis due to
chronic renal failure. After patient resuscitation and blood transfusion, upper
digestive endoscopy was done and showed a large gastric ulcer# and monilial esophagitis#.
The ulcer is in the pyloric region adjacent to the pyloric ring and just below the incisura.
The question here is should we take a biopsy from the
gastric ulcer or not?
Although prepyloric ulcers behave like D.U in regard to response to medical Rx,some may be malignant so if no response to Rx biopsy should be taken to prove nature of ulcer &further action to be decided accordingly.
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