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Gastric Varices Rosettes Formation (19 of 22)

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Gastric varices have been increasingly recognized as a major cause of gastrointestinal bleeding in patients with portal hypertension. Compared with esophageal variceal bleeding, hemorrhage caused by...

Gastric Varices Rosettes Formation (18 of 22)

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Retroflexed image observing the varix with its glue

Gastric Varices Rosettes Formation (17 of 22)

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Approach by retroflexión to the varix

Gastric Varices Rosettes Formation (16 of 22)

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3 weeks after a follow up endoscopy was performed Showing the images and video clips of the 16 to 22 sequence, observing the glue (yellow) that emerges from the varix.

Gastric Varices Rosettes Formation (13 of 22)

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Another image of varix with its glue

Gastric Varices Rosettes Formation (12 of 22)

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The glue in the middle of varix which has stopped the bleeding.

Gastric Varices Rosettes Formation (11 of 22)

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The glue emerging from the varix.

Gastric Varices Rosettes Formation (10 of 22)

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It is observed when the mixture of the glue emerges through varix.

Gastric Varices Rosettes Formation (9 of 22)

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Next step is that to inject a mixture of histoacryl with with lipiodol (0.8 mL in 0.5 mL) will be injected intra-variceal

Gastric Varices Rosettes Formation (8 of 22)

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After to have washed and to have aspired abundant blood, the image was partially clarified and seen through the water and in a form of submarine swimming we managed to identify the varix and the probable...

Gastric Varices Rosettes Formation (7 of 22)

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Bleeding has been sufficiently severe, we used the therapeutic endoscopy of double channel.

Gastric Varices Rosettes Formation (6 of 22)

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Due to the gastric washing in order to look for the probable sites of bleeding acute bleeding is reactivated.

Gastric Varices Rosettes Formation (5 of 22)

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Another image of the varices located in the gastric fundus

Gastric Varices Rosettes Formation (4 of 22)

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We can observe a small ulceration in one of the varices, which could indicate a bleeding spot. Therapeutic endoscopy was practiced in the operating room with placement of an orotracheal tube to prevent...

Gastric Varices Rosettes Formation (3 of 22)

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Varices were found only in the gastric fundus. No varices were found in the esophagus. No other significant findings were recorded.

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