Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc
Journal website http://www.gastrores.org

Case Report

Volume 5, Number 3, June 2012, pages 120-126

Evaluation of Six Cases of Idiopathic Gastric Antral Ulcer

Figures

Figure 1.
Figure 1. A: Upper gastrointestinal endoscopic findings. Small ulcers with edema in the surrounding mucosa were noted in the greater curvature of the antrum. B: Histopathological findings of a biopsy specimen (HE staining). Eroded pyloric tissue with no specific features was seen. C: Endoscopic findings. After administration of PPI the ulcers did not healed. D: 24-hour intragastric pH monitoring finding. NAB was found (arrow). E: Endoscopic findings. After administration of PPI and H2-RA in combination the ulcers scared.
Figure 2.
Figure 2. Upper gastrointestinal endoscopic findings. A: A small ulcer with edema in the surrounding mucosa was found in the greater curvature of the antrum. B: After administration of PPI the ulcer did not healed. C: After administration of PPI and H2-RA in combination the ulcer was not cured.
Figure 3.
Figure 3. Upper gastrointestinal endoscopic findings. A: A small ulcer with edema in the surrounding mucosa was noted in the greater curvature of the antrum. B: After administration of PPI the ulcer did not healed. C: After administration of PPI and H2-RA in combination the ulcer scared.

Tables

Table 1. Clinical Characteristics
 
casesex / agecomplaintcomplicationsmoking /alcoholhistory of bleeding
1F / 68epigastric painhypertension(-)/(-)(+)
2F / 79epigastric discomforthypertension(-)/(-)(+)
3M / 57epigastric discomfortnone(-)/(+)(-)
4F / 64epigastric painhypertension(-)/(-)(+)
5F / 57epigastric painhypertension(-)/(-)(-)
6F / 62epigastric painnone(-)/(-)(-)

 

Table 2. Endoscopic Findings
 
caselocation of ulcersnumber of ulcerssize of ulcersmucosal elevation around ulcerscoexistence of reddish erosions
a.w.: anterior wall, p.w.: posterior wall, g.c.: greater curvature
1a.w. and p.w sites of g.c.3 - 46 – 8 mm(+)(+)
2a.w. and p.w sites of g.c.36 – 8 mm(+)(+)
3a.w. site of g.c.17 mm(+)(+)
4a.w. site of g.c.17 mm(+)(+)
5a.w. and p.w sites of g.c.36 – 8 mm(+)(+)
6a.w. site of g.c.17 mm(+)(+)

 

Table 3. Laboratory Findings
 
caseserum gastrin (pg/mL)pepsinogen I (ng/mL)
1156not measured
2128not measured
312497.8
417078.8
513689.7
615492.3

 

Table 4. Reaction to Medication
 
casePPIcombination of PPI and H2-RA
1not healedhealed
2healed-
3not healednot healed
4healed-
5not healednot healed
6not healedhealed