Bleeding – From Surgical Hemostasis to Emergency Management
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...
Gastric Varices (10 of 25)
Glue for gastric varices A mixture of Histoacryl with with Lipiodol (0.8 mL in 0.5 mL) will be injected intra-variceal. Bleeding from FV. Bleeding was considered to arise from FV if one of the...
Gastric Varices (9 of 25)
In this video clips shows the exact site of the bleeding Due to the rubbing of the injector with the surface of the varix, initiates the exact site of bleed varix was then noted to bleed actively....
Gastric Varices (7 of 25)
Identifying the Source of Bleeding Irrigation and suction are helpful in removing old blood and blood clots from the stomach, it is not unusual to have residual clots obscuring the endoscopic view...
Gastric Varices (5 of 25)
The natural history of bleeding gastric varices differs from that of esophageal varices. Although the risk of bleeding from gastric varices is half that of esophageal varices, the transfusion requirements...
Upper Gastrointestinal Tract - Bleeding (7 of...
Status post APC application seen with magnifying endoscope. Endoscopic ultrasonography is useful in the prediction of recurrence of varices and facilitates visualization and guidance of further treatment...
Upper Gastrointestinal Tract - Bleeding (6 of...
Status post coagulation with APC. Gastric varices are most commonly located in the cardia in continuity with esophageal varices. Isolated gastric varices are most commonly located in the fundus and...
Upper Gastrointestinal Tract - Bleeding (5 of...
The video clip displays the APC stopping the hemorrhage. Endoscopic variceal ligation is safer and more efficacious than sclerotherapy as initial treatment of bleeding esophageal varices, whereas...
Upper Gastrointestinal Tract - Bleeding (4 of...
Hemostasis was achieved using argon plasma coagulator APC. Bleeding from gastric varices is often a serious medical emergency. Although the incidence of bleeding from gastric varices is relatively...
Upper Gastrointestinal Tract - Bleeding (3 of...
Continuous flow of blood from the varix. Gastric varices occur in about 20% of patients with portal hypertension and approximately 25% of gastric varices bleed during lifetime. Gastric variceal bleeding...
Upper Gastrointestinal Tract - Bleeding (2 of...
Active pulsatile bleeding from a gastric fundic, varix was seen at endoscopy. Gastric Varices are much less common cause of variceal hemorrhage than esophageal ones; but are important to recognize...
Upper Gastrointestinal Tract - Bleeding (1 of...
Endoscopic appearance of actively bleeding gastric varices. Esophagogastroduodenoscopy in a cirrhotic patient with exsanguinating upper gastrointestinal hemorrhage reveals the characteristic endoscopic...
Upper Gastrointestinal Bleeding (3 of 3)
Argon Plasma Coagulation was used as a emergency tool. Gastric varices occur in about 20% of patients with portal hypertension and approxiamately 25% of gastric varices bleed during lifetime. Gastric...
Upper Gastrointestinal Bleeding (2 of 3)
Bleeding from gastric varices is a life-threatening complication of portal hypertension. Fundal and isolated gastric varices are at high risk for variceal bleeding. The first episode of variceal bleeding...
Upper Gastrointestinal Bleeding (1 of 3)
In this video clip, you can observe one of the worst bleeding of the gastrointestinal track. It is more difficult to stop bleeding from the gastric varices than from the esophageal varices. The rate...
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