Endoscopic findings in a patient with epigastric pain & Answer

A 16-year-old girl had repeated epigastric pain and nausea without any lower abdominal symptoms for 2 years prior to being referred to our hospital. Two years previously, she had undergone oesophagogastroduodenoscopy (EGD) and was diagnosed with chronic gastritis. She denied any other medical history. Physical examination was normal. Laboratory data revealed an iron deficiency anaemia and she had hypoalbuminaemia (serum albumin, 3.1 g/dL). Serum gastrin was 200 pg/mL and vitamin B12 was 270 pg/mL. Antigastric parietal cell and anti-intrinsic factor antibodies and Helicobacter pylori infection were negative. Colonoscopy did not show any abnormalities, and EGD in our hospital revealed diffuse atrophic mucosa with nodular changes observed only in the gastric body circumferentially (figure 1A). In addition, there were multiple …