gastroenterology videos
Gastric Varices - Endoscopic Ablation With Cyanoacrylate...
Gastric varices (GV) occur in 20% of patients with portal hypertension. GV located in the fundus (FV) tend to cause serious bleeding and are reported to be less responsive to endoscopic treatment....
Gastric Varices - Endoscopic Ablation With Cyanoacrylate...
In the same day a therapeutic endoscopy a histoacryl injection is programed, under general anesthesia with endotracheal tube is achieved. Stigmata of recent bleeding is observed.
Gastric Varices - Endoscopic Ablation With Cyanoacrylate...
Although gastric varices tend to bleed less frequently than esophageal varices, the morbidity and mortality associated with gastric variceal hemorrhage are substantial. Gastric varices are dilated...
Gastric Varices - Endoscopic Ablation With Cyanoacrylate...
This 49 year-old female was hospitalized in a social security hospital in El Salvador, She was discharged from the hospital on day 10, after that visit us for a therapeutical endoscopy. An upper...
Gastric Varices (21 of 25)
To avoid bronco aspiration the patient must be with endotracheal tube. This image as well as the video clips show endotraqueal tube, there are a plenty of fresh blood in the oropharynx, that is the...
Gastric Varices (20 of 25)
Hemostasis was achieved Hematemesis, melena, and hematochezia are symptoms of acute gastrointestinal bleeding. Bleeding that brings the patient to the physician is a potential emergency and must...
Gastric Varices (19 of 25)
Bleed has stopped completely. Management for gastric varices usually include vasoactive agents, endoscopic therapy and surgery. Rupture of gastric fundal varices is often lethal because of massive...
Gastric Varices (18 of 25)
The site of the last bleeding, besides of using glue and argon plasma, the hemostasis is reinforced with rubber bands. Endoscopic injection with tissue adhesives such as histoacryl can effectively...
Gastric Varices (15 of 25)
After have applied histoacryl had been a slight bleeding which was handling with argon plasma.
Gastric Varices (14 of 25)
In this video clip, another shot of the mixture of glue is injected, after retiring the needle a slight bleeding of wall is observed.
Gastric Varices (13 of 25)
Withdrawing the needle from the varix, washing it with saline solution to avoid be occluded by the glue and thus reuses it.
Gastric Varices (12 of 25)
Inmediately a new shot of the mixture of Histoacryl with with Lipiodol was injected with another injector, being successful with this. In general, endoscopic therapy for the treatment of bleeding...
Gastric Varices (11 of 25)
Intravariceal injection Histoacryl with with Lipiodol After the injection of the mixture, the syringe got stuck completely to the Luer Lock injector with the security knob. That is why the procedure...
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Gottumukkala Raju
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Ahmad Hormati
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