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(arrow), and the root of
a polyp (broken arrow).
What are the lines of treatment?
fig(1): arrow showing the food remnants
fig(2): indicator showing the polyp
fig(3): shaft showing a small nodule
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