CaseStudy3 -28/12/16

Created by:

28 Dec 2016 - General

A middle aged gentleman, with background of hypertension, smoker of 20 pack years, and alcholo excess, was admitted to hospital due to 1 day history of epigastric pain, and few episodes of haematemesis. He was drinking alcohol excessive for the last few day. He was haemodynamically stable, was started on intravenous proton pump inhibitor. Gastroscopy (OGD) done showed no blood in the upper GI tract, but with a clean based ulcer in gastric antrum (no clot, not visible vessel, no active bleeding). What should you do endoscopically ?? Any endoscopic intervention required ??

This case appears to be an acute exacerbation of a long standing gastric ulcer. His medical history strongly suggests that he has high risk gastric ulceration. I think endoscopy and biopsy are important in this case. The rationale for surveillance en...
 (Total 68 words)