A 59-year-old man presented to the GI endoscopy unit with
persistent epigastric pain#, weight loss, dyspepsia#, and intermittent bleeding
per rectum. The patient underwent upper digestive endoscopy that revealed a
retained food and fluid in the stomach (the patient was fasting for 7 hours),
deep ulcer in the first part of the duodenum that contains food remnants, and
the root of a polyp. There is a small nodule over the pyloric ring (all are
shown in a previous video on my YouTube channel). Also, the endoscopy revealed
a nodule of Barrett's esophagus.
The question is: how to proceed with this patient
Comments