An endoscopy was performed and a gastric ulcer found. Biopsies of the ulcer showed no evidence of malignancy. The final diagnosis is gastric ulcer with reactive lymph node enlargement.

95% of gastric ulcers are benign. 20-30% are multiple. Major risk factors include:

• H. pylori infection
• non-steroidal anti-inflammatory drugs (NSAIDs)

Minor risks factors include:

• steroids
• smoking
• alcohol
• coffee
• stress

Less common causes include Zollinger-Ellison syndrome, hyperparathyroidism, head injury (Cushing ulcer), or burns (Curling ulcer).