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A 48-year-old patient with vomiting and history of peptic ulcer surgery
  • Patient is a known case of peptic ulcer, he had done an operation for perforated peptic ulcer since 1989.
  • Now he is presented with epigastric pain ,repeated vomiting , dysphagia and weight loss. No haemtemesis and melena
  • Gastric biopsy :
    • Active chronic gastritis with helical bacteria in relation to gastric surface epithelium .serial deeper sections were done but no malignancy was seen in examined material
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