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Esophageal Variceal Bleeding - Varices in the...

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Within the gastroesophageal junction are seen several varices with the red sign.

Esophageal Variceal Bleeding - Chains of the...

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Note the chains of varices, retroflexed maneuver into the esophagus.

Esophageal Variceal Bleeding - 42 Years-Old Men

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42 year- old male, 15 days earlier, had been hospitalized for Esophageal Variceal Bleeding was referred to our endoscopic unit for specific treatment placing six bands.

Long Standing Alcohol Abuse - Banded Varices...

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There are some ligated varices at the mid esophagus. The evolution of the patient has been satisfactory to date.

Long Standing Alcohol Abuse - Banded Varices...

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Some varices are banding above of the multiple scars.

Long Standing Alcohol Abuse - Follow Up After...

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One month after the previous images. Six varices were ligated in this session of therapy.

Long Standing Alcohol Abuse - Argon Plasm Coagulation,...

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The bleeding was overcome easily with this therapeutical resource. Use of argon plasma coagulation (APC) to promote mucosal fibrosis has been described in some clinical setting. Argon Plasma Coagulator...

Long Standing Alcohol Abuse - Argon Plasm Coagulation,...

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To overcome this bleeding the argon plasma coagulator was used. Endoscopic ligation of esophageal varices combined with APC is superior to ligation alone. Since APC is theoretically well suited for...

Long Standing Alcohol Abuse - Argon Plasm Coagulation,...

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In this image and the video clip, the Probe of the argon plasma coagulator is observed that will initiate the therapeutical approach. Endoscopic variceal ligation is an established procedure for...

Long Standing Alcohol Abuse - Bleeding from Small...

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In the video clip, you can see a bleeding from a small fissure at the gastroesophageal junction.

Long Standing Alcohol Abuse - Spurting Esophageal...

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Spurting esophageal varix. Due to the retroflexed maneuver, the tip of the endoscope touched causing this bleeding that was resolved easily with argon plasma coagulator.

Long Standing Alcohol Abuse - Multiple Scars...

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A retroflexed view of the esophagus is observed, the multiple scars of the status post banding are seen.

Long Standing Alcohol Abuse - Scars

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Multiple scars are seen in this image as well as the video clip.

Long Standing Alcohol Abuse - Follow Up After...

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A follow up Endoscopy after one month. Status post banding Multiple scars are seen. Banding ligation sessions are repeated at 7- to 14-day intervals until obliteration of varices is achieved. Eradication...

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