The patient undergoes OGD in which the stomach contains a large amount of food residue despite fasting.
Erythema and nodularity of the gastric mucosa were noted, deformed duodenal bulb with narrowing thus the scope passed with difficulty. The duodenal mucosa showed erosions and ulcerations, a biopsy was taken and reported as a section of the superficial gastric mucosal lining showing benign-looking gastric mucosal glands embedded in fibrovascular stroma which was infiltrated by chronic inflammatory cells with no evidence of H.pylori infection at the superficial epithelial lining. A picture of chronic gastritis, no dysplastic or metaplastic changes.