Q:

With regard to benign gastric ulceration, the most common location of disease is which of the following?

0

With regard to benign gastric ulceration, the most common location of disease is which of the following?


  1. Along the greater curvature
  2. Immediately distal to the esophagogastric junction along the lesser curvature
  3. In the area of the incisura angularis along the lesser curvature
  4. Within the gastric antrum

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c. In the area of the incisura angularis along the lesser curvature

Gastric ulcers can occur anywhere in the stomach, although they usually present on the lesser curvature near the incisura angularis. About 60% are located at or slightly above the angularis. Fifteen percent to 23% of gastric ulcers are within the gastric antrum and 10% are high on the lesser curvature. Only 5% of gastric ulcers are found on the greater curvature. In addition, 97% of all gastric ulcers occur within 2 cm of the junctional zone between fundic and antral mucosa. Gastric ulcers appear at different distances from the pyloric sphincter because the antrum extends for variable (2 to 16 cm) distances from the pylorus. It is interesting that with increasing age this junctional zone moves proximally along the lesser curvature, as does the incidence of gastric ulcer.

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