Abstract

ENDOSCOPIC STUDY OF GASTRIC ULCER WITH REFERENCE TO MALIGNANCY

Author(s): Sudhansu Sekhar Mohanty1, Rojalin Mishra2, Chinmaya Rasmi Ranjan Mohapatra3, BismayaKumar Rout4

BACKGROUND
It is fundamental that any gastric ulcer should be regarded as being malignant, no matter how classic the features of a benign gastric ulcer. Multiple well-targeted biopsies, as many as 10, should always be taken before an ulcer can be definitely accepted as benign, which can be detected by a simple outpatient procedure of upper gastrointestinal endoscopy.
MATERIALS AND METHODS
Cases undergoing upper GI endoscopy in the Department of General Surgery, M.K.C.G. Medical College Hospital, from June 2015 - July 2017 were included in the study to determine the malignancy developing in cases of gastric ulcer keeping in mind the above-mentioned facts.
RESULTS
Out of 1782 cases of total upper GI endoscopy performed, 197 cases were detected as gastric ulcer. The incidence of malignancy in a gastric ulcer in this study was 3.04%. Peptic ulcer disease was more common in male sex compared to females. Incidence of malignancy in gastric ulcer was higher in smokers and alcoholics. The patients with H. pylori were more prone to gastric ulceration and its subsequent malignant transformation are well established.
CONCLUSION
Gastric ulcer maybe a precursor lesion of gastric malignancy. Multiple well-targeted biopsy from ulcer at endoscopy may lead to detection of early gastric cancer.