Endoscopic Morphology as an Indicator of Hemorrhage Risk and Subsequent Clinical Course in Gastric Ulcer: A Prospective Cohort Study

Dr. Pruthvi Tamminedi, Dr. Rajesh Kakkeri, Dr. Priyanka Jemunagani

Abstract: Background: Gastric ulcer bleeding is a significant clinical condition with considerable morbidity. Endoscopy plays a crucial role in diagnosing ulcer characteristics and predicting bleeding risk. Aim: To evaluate the correlation between endoscopic morphology and bleeding patterns in gastric ulcer patients. Materials and Methods: A prospective observational study was conducted at Navodaya Medical College, Raichur, from October 2024 to March 2025. A total of 100 patients diagnosed with gastric ulcer via endoscopy were included. Patients were categorized based on ulcer stage (acute, healing, scar) and location. Endoscopic findings were correlated with bleeding incidence, cycle, and volume. All patients were followed up for one year. Results: The highest incidence of bleeding was observed in the acute stage. Ulcer location significantly influenced bleeding volume, with duodenal and antral ulcers showing higher bleeding tendencies. Age and male gender were associated with increased bleeding severity. There was no statistically significant difference in bleeding distribution among stages within the same age group. Conclusion: Endoscopic morphology is a valuable predictor of bleeding risk in gastric ulcer patients. Early endoscopic evaluation aids in risk stratification and improves management outcomes.

Keywords: Gastric ulcer, Endoscopy, Bleeding, Morphology, Follow-up

How to Cite?: Dr. Pruthvi Tamminedi, Dr. Rajesh Kakkeri, Dr. Priyanka Jemunagani, "Endoscopic Morphology as an Indicator of Hemorrhage Risk and Subsequent Clinical Course in Gastric Ulcer: A Prospective Cohort Study", Volume 15 Issue 5, May 2026, International Journal of Science and Research (IJSR), Pages: 97-100, https://www.ijsr.net/getabstract.php?paperid=SR26502114358, DOI: https://dx.dx.doi.org/10.21275/SR26502114358

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