Middle aged female with Massive Hemetemesis

A female aged 65 years p/w Chief Complaints One episode of Massive Hemetemesis Dizziness and Palpitations(+) Vitals BP- 80 Systolic PR- 116/min Investigations Hb- 7.5 Platelets- 2.50 INR- 1.2 Diagnosis UGIE showed this lesion.... what is the nature of the lesion and hw shd it be managed

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