PMC10084531_01
Peptic ulcer visualized at the pylorus on first EGD.
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Esophagogastroduodenoscopy (EGD) showed one 8-mm non-obstructing cratered gastric ulcer with an adherent clot (Forrest class IIb) found at the pylorus (Figure 1), and hemostasis was achieved with epinephrine and a bipolar probe with no other sites of bleeding.
Fourth EGD showing recurrence of active gastric bleeding.
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A fourth EGD was performed which showed similar findings as prior and hemostasis was achieved as previously (Figures 2 and 3).
Application of hemostatic clips as part of the multi-modal management of the bleeding peptic ulcer.
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A fourth EGD was performed which showed similar findings as prior and hemostasis was achieved as previously (Figures 2 and 3).