A 68-year-old man presented with repeated vomiting, anemia, and dyspepsia was admitted to the endoscopy unit. The patient underwent upper digestive endoscopy. The scope revealed narrowing of the pyloric canal and severe inflammation with food stuck to the mucosa. Multiple biopsies were taken. Histopathology revealed severe inflammation. The patient was admitted again to the endoscopy unit. Computed tomography is ordered, but the patient can’t do it because of repeated vomiting and the inability to drink contrast dye. Another upper digestive endoscopy revealed narrowing of the pyloric canal and thickening of the pyloric area with necrotic mucosa. Extensive biopsies were taken. The histopathology revealed severe inflammation, and the pathologist ordered immunophenotyping.
What is your endoscopic diagnosis?
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