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Gastric Varices - Endoscopic Ablation With Cyanoacrylate...
This 49 year-old female was hospitalized in a social security hospital in El Salvador, She was discharged from the hospital on day 10, after that visit us for a therapeutical endoscopy. An upper...
Gastric Varices (21 of 25)
To avoid bronco aspiration the patient must be with endotracheal tube. This image as well as the video clips show endotraqueal tube, there are a plenty of fresh blood in the oropharynx, that is the...
Gastric Varices (20 of 25)
Hemostasis was achieved Hematemesis, melena, and hematochezia are symptoms of acute gastrointestinal bleeding. Bleeding that brings the patient to the physician is a potential emergency and must...
Gastric Varices (19 of 25)
Bleed has stopped completely. Management for gastric varices usually include vasoactive agents, endoscopic therapy and surgery. Rupture of gastric fundal varices is often lethal because of massive...
Gastric Varices (18 of 25)
The site of the last bleeding, besides of using glue and argon plasma, the hemostasis is reinforced with rubber bands. Endoscopic injection with tissue adhesives such as histoacryl can effectively...
Gastric Varices (15 of 25)
After have applied histoacryl had been a slight bleeding which was handling with argon plasma.
Gastric Varices (14 of 25)
In this video clip, another shot of the mixture of glue is injected, after retiring the needle a slight bleeding of wall is observed.
Gastric Varices (13 of 25)
Withdrawing the needle from the varix, washing it with saline solution to avoid be occluded by the glue and thus reuses it.
Gastric Varices (12 of 25)
Inmediately a new shot of the mixture of Histoacryl with with Lipiodol was injected with another injector, being successful with this. In general, endoscopic therapy for the treatment of bleeding...
Gastric Varices (11 of 25)
Intravariceal injection Histoacryl with with Lipiodol After the injection of the mixture, the syringe got stuck completely to the Luer Lock injector with the security knob. That is why the procedure...
Gastric Varices (10 of 25)
Glue for gastric varices A mixture of Histoacryl with with Lipiodol (0.8 mL in 0.5 mL) will be injected intra-variceal. Bleeding from FV. Bleeding was considered to arise from FV if one of the...
Gastric Varices (9 of 25)
In this video clips shows the exact site of the bleeding Due to the rubbing of the injector with the surface of the varix, initiates the exact site of bleed varix was then noted to bleed actively....
Gastric Varices (8 of 25)
Multiple large gastric varices can be seen in the gastric cardia and fundus. The treatment chosen for this patient was intravariceal injection with cyanoacrylate. After volume resuscitation and blood...
Users
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Michael Hawke
Professor
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Gottumukkala Raju
Professor
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Ashley Mark
MD
Channels
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Gastroenterology Atlas
medical institution
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SAGES - Society of American Gastrointestinal and Endoscopic Surgeons
medical institution
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High Impact - Medical Animation
medical institution
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Orthopaedic Academy
medical institution
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World Health Summit
commercial institution
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