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 Ulcer and Bleeding (3 of 4)

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The ulcer is observed in the posterior wall of the duodenal bulb, Bleeding actively, for which it needed an emergency procedure to stop the hemorrhage.

Duodenal Ulcer and Bleeding (2 of 4)

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After suction of the blood, the image becomes more clearly. The ulcer is seen with some blood inside. Endoscopic treatment of an exposed or visible vessel in a large, deeply penetrating, posterior...

Duodenal Ulcer and Bleeding (1 of 4)

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Endoscopic intervention in acute gastrointestinal bleeding due to duodenal ulcer of the posterior wall. This sequence of endoscopies display an interventional therapy in which the ulcer is injected...

Multiple Gastric Angiodysplasia (15 of 17)

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Vascular lesions of the gastrointestinal tract are clinically highly relevant, and are a common cause of gastrointestinal bleeding. Among these lesions, gastrointestinal angiodysplasia is frequently...

Multiple Gastric Angiodysplasia (14 of 17)

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There are more small lesions. CONDITIONS WITH INCREASED PREVALENCE — The prevalence of angiodysplasias is increased in older populations, those with gastrointestinal bleeding, and those with certain...

Multiple Gastric Angiodysplasia (12 of 17)

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Most angiodysplasias are detected in patients older than 60 , although presentation in patients in their 30s has been described. They may be asymptomatic or cause occult or overt gastrointestinal bleeding.

Multiple Gastric Angiodysplasia (9 of 17)

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A pulsaltile vassel is observed CLINICAL MANIFESTATIONS — Angiodysplasias can remain clinically silent or cause bleeding. Patients who bleed typically present with occult blood loss and are more...

Multiple Gastric Angiodysplasia (1 of 17)

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PATHOGENESIS — Angiodysplasias are composed of ectatic, dilated, thin-walled vessels that are lined by endothelium alone or by only small amounts of smooth muscle. Their anatomy has been best demonstrated...

Multiple Gastric Angiodysplasia (6 of 17)

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The argon plasma therapy is initiated Vascular anomalies associated with congenital or systemic diseases, such as blue rubber bleb nevus syndrome, Klippel-Trenaunay-Weber syndrome, Ehlers-Danlos...

Multiple Gastric Angiodysplasia (2 of 17)

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The endoscopic image as well as the video clip show multiple angiodysplasias Gastric angiodysplasia is associated with several systemic diseases, most notably hereditary hemorrhagic telangiectasia...

Multiple Gastric Angiodysplasia (1 of 17)

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This 91-year old lady had medical history of multiple hospitalizations, her family reported that she had at least 20 hospitalizations at another hospital (public) due to upper gastrointestinal bleeding,...

Gastrointestinal Stromal Tumor - GIST (2 of 65)

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Retroflexed image. Gastrointestinal stromal tumors (GISTs) are rare. Nevertheless, some may present with a life-threatening hemorrhage or intestinal obstruction.

GIST With Ulcerated Lesion (4 of 6)

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Upper endoscopy image showing Gastrointestinal Stromal tumor (GIST) Most GIST of stomach are asymptomatic but ulceration may cause pain and signs of gastrointestinal bleeding. Microscopically,...

Gastric Polyposis - Endoscopy (7 of 11)

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The bleeding of the stalk was cauterized.

Multilobulated Gastric Polyp (10 of 20)

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Being removed with a snare around its large stalk. A rapid cut current was applied to prevent burning at the clip site. In the video clip, note the traction used to avoid transmural injuries.

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