This slide shows alkaline reflux gastritis with intense erythema and swollen folds. This can produce a burning epigastric pain post-prandially with early satiety, nausea and emesis. This occurs since the pyloris is no longer present to prevent reflux of duodenal contents into the stomach. This procedure accompanies truncal vagotomy to promote gastric emptying. This ulcer is seen merging with an erosion.
Duodenal ulcers heal by reepithelization from periphery.
The crater becomes progressively smaller and less deep at the average rate of 1 to 4 mm per week. This procedure can also be therapeutic, referred to as endoscopic retrograde sphincterotomy. This slide shows a papilotome inserted into the small papillary orifice to make a small incision. On the upper right, small incision allows deep insertion of the regular papillotome for division of the sphincter with a diathermic current. The lower right picture shows the completed sphincterotomy.