These people are bordering on obssessive idolarity for a political figure. What is with the world and its cult-level possessiveness over politicians? They are mere humans. These politicians donโt even know us on a personal level,and they are not the second coming of Jesus Christ.
Patients with Barrettโs oesophagus have a lifetime risk of oesophageal cancer between 3-13%. This is usually associated with reflux and hiatus hernia (seen in this case).
This patient has Barrettโs oesophagus with a deep ulcer with rolled edges and borders showing irregular mucosa and vessels.
This should ideally be washed and inspected closer with chromoendoscopy to give better pictures, but is indicative of an invasive cancer.
Interestingly, most Barrettโs cancer occur in the right side of the clock face (12 to 6 oโclock) due to mucosal damage from acid reflux.
Sadly, the patient had an urgent CT scan that showed liver and nodal metastases and is scheduled for palliative chemo.
PPIs wonโt help in this case as this is a malignant ulcer caused by cancer infiltration, and neither will H pylori eradication. A follow-up OGD in 6 weeks would lead to delays in treatment.
So if you see an ulcer in a Barrettโs segment, consider cancer until proven otherwise.