Does gastroscopy indicate the need for biopsy for gastric ulcer?

Gastroscopy suggests that gastric ulcers usually require biopsy. Gastric ulcer biopsy helps to clarify the nature of the lesion, exclude the possibility of malignancy, and provide a basis for subsequent treatment. The main purpose of gastric ulcer biopsy is to distinguish between benign and malignant lesions. If irregular ulcer edges, uneven bases, or bleeding are found under gastroscopy, biopsy can help confirm the presence of gastric cancer or precancerous lesions. For newly discovered gastric ulcers, especially for patients over 40 years old or with a family history of gastric cancer, biopsy is more necessary. In addition, helicobacter pylori infection is a common cause of gastric ulcers, and biopsy tissue can undergo rapid urease test or pathological staining detection to guide subsequent anti infective treatment. The biopsy process is usually completed synchronously during gastroscopy examination, and doctors use specialized forceps to extract a small amount of tissue. The operation time is short and the safety is high.

It is recommended that patients avoid taking anticoagulant drugs within 24 hours before biopsy and refrain from eating or drinking for 2 hours after examination. Pay attention to regular diet, reduce intake of spicy and stimulating foods, quit smoking and limit alcohol consumption in daily life. If the biopsy result shows positive for Helicobacter pylori, quadruple therapy should be used for eradication treatment in accordance with medical advice. Regular follow-up gastroscopy can help monitor the healing of ulcers and intervene promptly if any abnormalities are detected.