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Duodenal Ulcer and Bleeding (5 of 23)

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The endoscopic procedure continues.

Duodenal Ulcer and Bleeding (4 of 23)

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After the injection of 0.5 cc alcohol, we removed the needle and planned three more shots.

Duodenal Ulcer and Bleeding (3 of 23)

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It is observed the sclerotherapy needle, injecting absolut alcohol on the anterior wall of the duodenal bulb. Despite advances in medical management, gastrointestinal bleeding remains a substantial...

Duodenal Ulcer and Bleeding (2 of 23)

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Injection Therapy of Bleeding Duodenal Ulcer. Immediately after the endoscopic diagnosis, we performed a combined an aggressive therapeutic procedure, consisting of sclerotherapy with absolute alcohol...

Duodenal Ulcer and Bleeding (1 of 23)

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Upper GI Bleeding due to a Duodenal Ulcer This is a 58 year-old man, that was under non steroids anti-inflammatory drugs and aspirin treatment. The patient had one week evolution of intermittent melena....

Brunner's Gland Hyperplasia (3 of 5)

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High magnification with Chromoendoscopy. Using methylene blue stain.

Brunner's Gland Hyperplasia (2 of 5)

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Nodular duodenum, frequently described as nodular duodenitis, is endoscopically characterized by multiple erythematous nodules in the proximal duodenum and may represent a variant of duodenal inflammation.

Brunner's Gland Hyperplasia (1 of 5)

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This image and the video clip have been observed with a magnifying endoscope. Hyperplasia of Brunner´s glands with sign of micro hemorrhage.

Brunner's Gland Hyperplasia (3 of 3)

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This image and the video clip is appreciated using a magnifyng endoscope. Johann Conrad Brunner, 1653–1727, Swiss anatomist, hypertrophy of tubuloalveolar glands in the submucosal layer of the duodenum....

Brunner's Gland Hyperplasia (2 of 3)

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This image and the video clip are appreciated using a magnifyng endoscope.

Brunner's Gland Hyperplasia (1 of 3)

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Brunner's gland hyperplasia.

Duodenal Ulcers and Erosions (3 of 3)

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One and a half year after, an upper endoscopy was performed and some polypoid structures was found that belong to scar tissue due to the previous ulcers. Patient since the hemorrhage has been under...

Duodenal Ulcers and Erosions (2 of 3)

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Several duodenal ulcers are seen some with necrotic borders.

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