Bleeding – From Surgical Hemostasis to Emergency Management

APC Adenocarcinoma Argon Plasma Coagulation Dieulafoy's lesion Hemorrhoid NSAIDS absolute alcohol banding clip colon colonoscopy duodenum endoscopy esophagus exulceratio simplex gastroscopy laparoscopy perforation peritonitis polyp rectum rosette stomach ulcer varices
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Duodenal Angiodysplasia (3 of 3)

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Argon plasma coagulator was used to recurrent bleeding from GI angiodysplasias. Endoscopic argon plasma coagulation is both effective and safe for prevention of recurrent bleeding from GI angiodysplasia....

Duodenal Angiodysplasia (2 of 3)

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Angiodysplasia or arteriovenous malformation (AVM) is the most common vascular anomaly of the GI tract. Composed of an ectatic, dilated submucosal vein (usually multiple occurrences), colonic angiodysplasia...

Duodenal Angiodysplasia (1 of 3)

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This 80 year-old female, who had presented multiple times, black stool to the extent that the hemoglobin had dropped to 8 g / dl. An endoscopy was performed finding the exact site bleeding that is...

Angiodysplasia of the Duodenum (4 of 4)

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A Hiatal Hernia is displays, pallor of the gastric mucosa

Angiodysplasia of the Duodenum (3 of 4)

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Angiodysplasia is characterized by degenerative vascular dilation of the capillary net in the absence of dysplastic tissue. On endoscopy, flat or slightly elevated, reddish, roundish or starry lesions...

Angiodysplasia of the Duodenum (2 of 4)

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Endoscopic Ablation Bleeding was controlled using the argon plasma coagulator. One of the most common complications associated with angiodysplasias is bleeding, which is often occult Angiodysplastic...

Angiodysplasia of the Duodenum (1 of 4)

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This 72 year-old female has been presented with several episodes of melenas, her hemoglobin was 8.3 Gr/dl. the upper endoscopy shows this vascular lesion in the second portion of the duodenum. Aberrant...

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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