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Hemorrhage due status post rubber band ligation of esophageal varices (24 of 25)

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Hemorrhage due status post rubber band ligation...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 1439 comments: 0

N/A

We beging with the procedure to banding the varix.

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Hemorrhage due status post rubber band ligation of esophageal varices (23 of 25)

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Hemorrhage due status post rubber band ligation...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 1489 comments: 0

N/A

Another image and the video of the site of bleed.

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Hemorrhage due status post rubber band ligation of esophageal varices (22 of 25)

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Hemorrhage due status post rubber band ligation...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 1460 comments: 0

N/A

The exactly site of bleeding was located at the anterior wall of the esophagus near two cm. of the gastroesophageal junction.

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Hemorrhage due status post rubber band ligation of esophageal varices (21 of 25)

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Hemorrhage due status post rubber band ligation...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 1650 comments: 0

N/A

Many varices are appreciated with “the red sign”.

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Hemorrhage due status post rubber band ligation of esophageal varices (20 of 25)

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Hemorrhage due status post rubber band ligation...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 2035 comments: 0

N/A

The image and the video display bleeding from esophageal varix.

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Hemorrhage due status post rubber band ligation of esophageal varices (19 of 25)

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Hemorrhage due status post rubber band ligation...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 1467 comments: 0

N/A

Two years later the patient re-bleeds, She had not taken a suitable medical control, the cirrhosis has progressed, now with ascitis. The hemoglobin was 6.0 gr/dl.

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Hemorrhage due status post rubber band ligation of esophageal varices (18 of 25)

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Hemorrhage due status post rubber band ligation...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 1517 comments: 0

N/A

This post-procedure control image shows no active bleeding. After a period of observation the procedure was considered complete. The patient was discharged from the hospital the next day. The image...

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Hemorrhage due status post rubber band ligation of esophageal varices (17 of 25)

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Hemorrhage due status post rubber band ligation...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 1489 comments: 0

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In sequence to the images presented above, you can see hemorrhage and blood clots, consequence of the last injection. The endoscopist needs to develop a certain degree of self-confidence.

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Hemorrhage due status post rubber band ligation of esophageal varices (16 of 25)

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Hemorrhage due status post rubber band ligation...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 1421 comments: 0

N/A

Some bleeding is observed as a consequence of the sclerotherapy. The bleeding, which originated in the variceal wall, stopped spontaneously.

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Hemorrhage due status post rubber band ligation of esophageal varices (15 of 25)

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Hemorrhage due status post rubber band ligation...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 1403 comments: 0

N/A

The fourth sclerotherapy is displayed in this image as well as the video clip.

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Hemorrhage due status post rubber band ligation of esophageal varices (14 of 25)

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Hemorrhage due status post rubber band ligation...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 1414 comments: 0

N/A

Endoscopy of Variceal Sclerotherapy The injector is retracted and a small ulcer is observed as a result of the injection.

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Hemorrhage due status post rubber band ligation of esophageal varices (13 of 25)

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Hemorrhage due status post rubber band ligation...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 1936 comments: 0

N/A

Maintaining a certain force on the injector during 4 minutes Polydocanol was injected.

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Hemorrhage due status post rubber band ligation of esophageal varices (12 of 25)

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Hemorrhage due status post rubber band ligation...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 1398 comments: 0

N/A

This image and the video show the third sclerotherapy applied on a large vein which presented with various red signs. Variceal appearance on endoscopy ("red signs") Red wale marks (longitudinal...

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Hemorrhage due status post rubber band ligation of esophageal varices (11 of 25)

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Hemorrhage due status post rubber band ligation...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 1379 comments: 0

N/A

The image and video display the retraction caused by the injector as well as a slight hemorrhage which originates in the variceal wall.

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Hemorrhage due status post rubber band ligation of esophageal varices (10 of 25)

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Hemorrhage due status post rubber band ligation...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 1560 comments: 0

N/A

1.5 ml of Polydocanol at 1.5% was injected with a 4.15 minute time delay before the injector was retracted.

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