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Long Standing Alcohol Abuse - 68 Years-Old Man

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This 68 year old man, has a history of long standing alcohol abuse, had two episodes of gastrointestinal bleeding. Multiple red spot are seen. One of the most ominous complications of portal hypertension...

Upper GI Bleeding Due to Esophageal Varices -...

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More bands were applied to several varice

Upper GI Bleeding Due to Esophageal Varices -...

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The gastric cardias at the retroflexed, observing the varix with beginnings of necrosis.

Upper GI Bleeding Due to Esophageal Varices -...

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Two rubber band have been applied at the site of the bleeding.

Upper GI bleeding due to Esophageal Varices -...

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Endoscopic ligation of esophageal varices requires placement of an opaque cylinder over the end of the endoscope. The exact site of the hemorrhage is ligated

Upper GI Bleeding Due to Esophageal Varices -...

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By retrofletion the gastric cardia is inspected observing the exact site of the bleeding. One of the most ominous complications of portal hypertension is hemorrhage from esophageal or gastric varices....

Upper GI Bleeding Due to Esophageal Varices -...

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More images and video clips of the exact site of the bleeding. Close-up view of the fibrin plug.

Upper GI Bleeding Due to Esophageal Varices -...

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A yellowish fibrin plug is visible in the 1 o'clock varix indicating the site of recent bleeding. The exact site of the bleeding has been identify in the Gi Junction, white point of above.

Upper GI Bleeding Due to Esophageal Varices -...

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Mandates aggressive lavage and thorough endoscopy of the stomach to include a retroflexed view of the cardiac portion of the stomach, fresh blood at the gastric fundus is observed.

Upper GI Bleeding Due to Esophageal Varices -...

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This 42 year-old male, was admitted for massive hematemesis resulted in hypotension, history of alcoholic abuse, after promptly resuscitate and restore circulating blood volume of patient an emergency...

Esophageal Varix - Endoscopic Image of Ligation...

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Endoscopic Image of ligation of Esophageal Varices Another interesting finding is that during acute variceal bleeding the hepatic venous pressure gradient (which correlates with the risk of variceal...

Esophageal Varix - Bleeding and Ligated Varix

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EVL works by capturing all or part of a varix resulting in occlusion from thrombosis. The tissue then necroses and sloughs off in a few days to weeks, leaving a superficial mucosal ulceration, which...

Esophageal Varix - Banding of Varices

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More varices were ligated. The first patient was treated with EVL in 1986. Since then, advances in the technique have led to its routine use in the care of patients with esophageal varices. One of...

Esophageal Varix - Banding of Two Bleeding Varices

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Two rubber bands were applied to the bleeding varix. Endoscopic variceal ligation (EVL) was developed in an effort to find an effective means of treating esophageal varices endoscopically with fewer...

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