PMID: 16538121Mar 16, 2006Paper

Ischaemic gastric ulceration with endoscopic healing after revascularization

European Journal of Gastroenterology & Hepatology
Sabine BeckerTage O Fonslet

Abstract

A 66-year-old man with a history of abdominal pain, diarrhoea and weight loss was admitted for evaluation. Gastroscopy disclosed a severe gastric ulceration covering the lesser curvature. There was none of the usual risk factors for peptic ulcer disease and no malignancy was found. After 2 weeks' treatment with a proton pump inhibitor no healing was observed. The patient had a known atherosclerotic vascular disease, and angiography disclosed severe mesenteric ischaemia. After a revascularization procedure with stenting of the superior mesenteric artery was performed, the patient's symptoms disappeared. Healing of the gastric ulceration was observed at a further gastroscopy 2 weeks later. Chronic ischaemia is a rare cause of gastric ulcer, but should be suspected when no other cause is found and when the usual treatment with proton pump inhibitors does not result in healing.

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Citations

Aug 8, 2013·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Shou-Jiang TangFeriyl Bhaijee
Jun 30, 2012·The Journal of Surgical Research·Neil H BhayaniTerrence M Fullum
Aug 26, 2020·Journal of Burn Care & Research : Official Publication of the American Burn Association·Erika BisgaardCaroline Park
Dec 6, 2018·Acta Cirúrgica Brasileira·Maria Angélica Baron MagalhãesJurandir Marcondes Ribas Filho
Jan 13, 2016·Journal of Clinical Gastroenterology·Saleh ElwirMichael Shaw

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