A 52-year-old male presents with acute upper abdominal pain and melena. Endoscopy reveals a large ulcer located in the posterior aspect of the duodenal bulb with an actively spurting vessel.Suggest a sutiable treatment plan and diagnosis

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Dr. Nikhil

Adrenaline injection around 4 quadrants of ulcers and then apply hemoclip or if ulcer is large then apply otsc..

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