Hematemesis under evaluation

22/M, no comorbidities Chief Complaints Melena since 2 days History H/o RTA with abdominal trauma with injury to duodenum, liver and pancreas for which he underwent Roux-en-Y gastrojejunostomy, pancreatojejunostomy and jejuojejunostomy 1 week back. Investigations Endoscopic images attached showing multiple Forrest class III ulcers of size varying from 3 to 5 cm located in body and antrum Management What is the diagnosis and what is the management?




Are thes images pre operative or post operative As you have already described the procedures undergone the pt and 8n given circumstances that were right steps

Stress ulcer to be managed conservatively and should be followed for hemodynamic stability,

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