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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Multilobulated Gastric Polyp (7 of 20)

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Endoscopic clip ligation of polyp stalk to prevent bleeding after snare polypectomy.

Gastric Varices Rosettes Formation (20 of 22)

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Gastric Varices Rosettes formation The first upper endoscopy was practiced in an outpatient setting with signs of recent bleeding. Abundant bloody secretions were aspirated, and the patient was admitted...

Gastric Varices Rosettes Formation (19 of 22)

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Gastric varices have been increasingly recognized as a major cause of gastrointestinal bleeding in patients with portal hypertension. Compared with esophageal variceal bleeding, hemorrhage caused by...

Gastric Varices Rosettes Formation (18 of 22)

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Retroflexed image observing the varix with its glue

Gastric Varices Rosettes Formation (17 of 22)

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Approach by retroflexión to the varix

Gastric Varices Rosettes Formation (16 of 22)

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3 weeks after a follow up endoscopy was performed Showing the images and video clips of the 16 to 22 sequence, observing the glue (yellow) that emerges from the varix.

Gastric Varices Rosettes Formation (13 of 22)

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Another image of varix with its glue

Gastric Varices Rosettes Formation (12 of 22)

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The glue in the middle of varix which has stopped the bleeding.

Gastric Varices Rosettes Formation (11 of 22)

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The glue emerging from the varix.

Gastric Varices Rosettes Formation (10 of 22)

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It is observed when the mixture of the glue emerges through varix.

Gastric Varices Rosettes Formation (9 of 22)

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Next step is that to inject a mixture of histoacryl with with lipiodol (0.8 mL in 0.5 mL) will be injected intra-variceal

Gastric Varices Rosettes Formation (8 of 22)

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After to have washed and to have aspired abundant blood, the image was partially clarified and seen through the water and in a form of submarine swimming we managed to identify the varix and the probable...

Gastric Varices Rosettes Formation (7 of 22)

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Bleeding has been sufficiently severe, we used the therapeutic endoscopy of double channel.

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