Difference between revisions of "Gastric ulcer"

*The classical teaching is to biopsy the ulcer edge, as the dictum is: the cancer is there; this dictum may not be true.<ref name=pmid22469743>{{Cite journal  | last1 = Lv | first1 = SX. | last2 = Gan | first2 = JH. | last3 = Ma | first3 = XG. | last4 = Wang | first4 = CC. | last5 = Chen | first5 = HM. | last6 = Luo | first6 = EP. | last7 = Huang | first7 = XP. | last8 = Wu | first8 = SH. | last9 = Qin | first9 = AL. | title = Biopsy from the base and edge of gastric ulcer healing or complete healing may lead to detection of gastric cancer earlier: an 8 years endoscopic follow-up study. | journal = Hepatogastroenterology | volume = 59 | issue = 115 | pages = 947-50 | month = May | year = 2012 | doi = 10.5754/hge10692 | PMID = 22469743 }}</ref>

*The classical teaching is to biopsy the ulcer edge, as the dictum is: the cancer is there; this dictum may not be true.<ref name=pmid22469743>{{Cite journal  | last1 = Lv | first1 = SX. | last2 = Gan | first2 = JH. | last3 = Ma | first3 = XG. | last4 = Wang | first4 = CC. | last5 = Chen | first5 = HM. | last6 = Luo | first6 = EP. | last7 = Huang | first7 = XP. | last8 = Wu | first8 = SH. | last9 = Qin | first9 = AL. | title = Biopsy from the base and edge of gastric ulcer healing or complete healing may lead to detection of gastric cancer earlier: an 8 years endoscopic follow-up study. | journal = Hepatogastroenterology | volume = 59 | issue = 115 | pages = 947-50 | month = May | year = 2012 | doi = 10.5754/hge10692 | PMID = 22469743 }}</ref>

*''Ulcer with clean base'' refers to nothing "in" the ulcer (depression); these may be benign or malignant.<ref name=pmid25312052>{{cite journal |authors=Gielisse EA, Kuyvenhoven JP |title=Follow-up endoscopy for benign-appearing gastric ulcers has no additive value in detecting malignancy: It is time to individualise surveillance endoscopy |journal=Gastric Cancer |volume=18 |issue=4 |pages=803–9 |date=October 2015 |pmid=25312052 |doi=10.1007/s10120-014-0433-4 |url=}}</ref>

*''Ulcer with clean base'' refers to nothing "in" the ulcer (depression); these may be benign or malignant.<ref name=pmid25312052>{{cite journal |authors=Gielisse EA, Kuyvenhoven JP |title=Follow-up endoscopy for benign-appearing gastric ulcers has no additive value in detecting malignancy: It is time to individualise surveillance endoscopy |journal=Gastric Cancer |volume=18 |issue=4 |pages=803–9 |date=October 2015 |pmid=25312052 |doi=10.1007/s10120-014-0433-4 |url=}}</ref>

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