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That is most likely for sake of completeness of the examination and work up.
Usually individuals who exhibit symptoms of gastritis, acid reflux and esophagitis also have concomitant gall stones or gall bladder dysfunction which can only be diagnosed by an ultrasound of the upper abdomen. And that is why an ultrasound is requested to complete the work up.
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Yes, that is the gold standard investigation to detect stomach cancer.
Yes, multiple biopsies are part of the procedure.
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