[Bleeding gastric ulcer]
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After a successful hemostasis for bleeding ulcers, many endoscopists don't take biopsies from the ulcer. However, some malignant ulcers may bleed.
When the second-look endoscopy was commonly recommended, there was a chance to take biopsies the next day. However, second-look endoscopy is not recommended anymore. Therefore, biopsies should be taken in the first endoscopy. When you are careful, the risk of bleeding from biopsies must be very low.
Recommendation: After the endoscopic hemostasis, take 2 or 3 biopsies from the ulcer edge for histology and do the CLOtest.
EGC, presenting with hematemesis
@ Related article: EndoTODAY-20111209, EndoTODAY-20111210