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Acute Suppurative Cholangitis (2 of 8)

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Needle-knife precut sphincterotomy Endoscopic biliary drainage for severe acute cholangitis. The sphincterotomy is iniciates with pre-cut needle emerging abundant purulent secretion (Colangitis) Charcot...

Acute Suppurative Cholangitis (1 of 8)

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96 year-old female, 20 years previously underwent a cholecystectomy, patient was hospitalized with abdominal pain in the right upper quadrant, tenderness and jaundice, elevated alkaline phosphatase...

Duodenal Ulcer and Bleeding (23 of 23)

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Final status of therapeutic endoscopy shows two hemoclips

Duodenal Ulcer and Bleeding (22 of 23)

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It proceeds to place two hemoclips.

Duodenal Ulcer and Bleeding (21 of 23)

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Across the water is observed the ulcer

Duodenal Ulcer and Bleeding (20 of 23)

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In total they were 4 infiltration of different quadrants around the ulcer of 0.5 ml each of absolute alcohol.

Duodenal Ulcer and Bleeding (19 of 23)

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It continues with the therapeutic endoscopy inyecting many doses of absolute alcohol.

Duodenal Ulcer and Bleeding (18 of 23)

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A spurting bleeding of the duodenal ulcer It applies injection of absolute alcohol 0.5 ml. each

Duodenal Ulcer and Bleeding (17 of 23)

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A spurting bleeding of the duodenal ulcer

Duodenal Ulcer and Bleeding (16 of 23)

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After washing hardly, it was localized the exact site of the bleeding. One vessel exposed of a duodenal ulcer in the same zone where five years ago it had caused the same problem.

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