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Zollinger- Ellison Syndrome - Gastric Ulcer with...

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A close up to the ulcer. Gastric Ulcer with Gastrocolic fistula due to Zollinger- Ellison syndrome.

Zollinger- Ellison Syndrome - Gastric Ulcer with...

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Gastro-Colonic Fistula. The images and the videos belong to the same patient of the case described above with enormous ulcer that was penetrating to the pancreas and fistula to the transverse colon.

Zollinger- Ellison Syndrome - Gastric Ulcer with...

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The images and videos of this sequence display a big ulcer with a blood clot and obstructing of the antrum. This image at the beginning was diagnosed as gastric carcinoma. The Zollinger-Ellison...

Zollinger- Ellison Syndrome - Gastric Ulcer with...

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Gastro-Colonic fistula due to Zollinger Ellison Syndrome. Colonoscopy performed previously. Retrospectively we knew that this enlarged image of the transverse colon was part of the gastrocolonica...

Zollinger- Ellison Syndrome - Gastric Ulcer with...

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A 64 year-old man that that presented a history of weight loss of 26 pounds with several upper gastrointestinal hemorrhages. The patient had two previous upper endoscopies elsewhere that apparently...

Bleeding Due to Dieulafoy´s Lesion ( of 8)

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Final Status of the Successful Therapy of Dieulafoy´s Lesion (Exulceratio Simplex)

Bleeding Due to Dieulafoy´s Lesion (6 of 8)

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The image as well as the video clip show the bands that have been strangulated the bleeding area.

Bleeding Due to Dieulafoy´s Lesion (5 of 8)

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Immediately a hemostatic therapeutical therapy with banding was carried out

Bleeding Due to Dieulafoy´s Lesion (4 of 8)

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Dieulafoy´s Lesion (Exulceratio Simplex)

Bleeding Due to Dieulafoy´s Lesion (3 of 7)

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Dieulafoy´s Lesion (Exulceratio Simplex

Bleeding Due to Dieulafoy´s Lesion (2 of 7)

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The image as well as the video clip; at seven o'clock it show abundant red brilliant blood

Bleeding Due to Dieulafoy´s Lesion (1 of 7)

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This 75-year-old female, has been hospitalized in 4 occasions because of upper gastrointestinal bleeding in a national hospital but it seem that she not got any therapeutical treatment, was referred...

Bleeding Due to Dieulafoy´s Lesion (8 of 8)

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Successful treatment of a gastric Dieulafoy's lesion with absolute alcohol. Endoscopic therapy is said to be successful in achieving permanent hemostasis in 85% of cases. Of the remaining 15% in whom...

Bleeding Due to Dieulafoy´s Lesion (7 of 8)

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PATHOGENESIS The consensus seems to be that it is caused by an abnormally large-calibre persistent tortuous submucosal artery. This has been demonstrated by histological examination of resected specimens...

Bleeding Due to Dieulafoy´s Lesion (6 of 8)

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Immediately a hemostasis was carry out with absolute alcohol injection.

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