Bleeding – From Surgical Hemostasis to Emergency Management
Upper Gastrointestinal Bleeding (13 of 15)
Multiple giant ulcers which presented several bleeding sites treated with Argon Plasma Coagulator (APC)
Upper Gastrointestinal Bleeding (12 of 15)
Multiple ulcers were treated with APC successfully stopping the bleeding.
Upper Gastrointestinal Bleeding (11 of 15)
Several ulcers at the incisura angularis an gastric body seen in retroflexion.
Upper Gastrointestinal Bleeding (9 of 15)
The bleeding persisted, and a 2nd endoscopy was performed. We suctioned abundant blood of bright and dark red color. Several bleeding sites were present.
Upper Gastrointestinal Bleeding (8 of 15)
You can observe 2 giant ulcers at the gastric body with are cover with blood clots. Several modalities of endotherapy are available, such as injection therapy, coagulation therapy, hemostatic clips,...
Upper Gastrointestinal Bleeding (7 of 15)
At some ulcers, we vigorously used Argon Plasma Coagulator, especially if blood vessels were visible. Special note: Due to technical difficulties with the APC which gave us electrical interference...
Upper Gastrointestinal Bleeding (6 of 15)
Here you can observe active bleeding at the gastric fundus. Cigarette smoking can affect gastric mucosal defense adversely. Cigarette smoking is believed to play a facultative role in H pylori infection,...
Upper Gastrointestinal Bleeding (5 of 15)
The video shows the water spray which cleans out the blood clots of 2 ulcers. The 2 major etiological factors for Peptic ulcer disease are Helicobacter pylori infection and the consumption of nonsteroidal...
Upper Gastrointestinal Bleeding (4 of 15)
Another image and video of the multiple ulcers with blood clots. Peptic ulcer disease is one of the most common diseases affecting the GI tract. It causes inflammatory injuries in either the gastric...
Upper Gastrointestinal Bleeding (3 of 15)
Retroflexed image of multiple ulcers, several which presented blood clot at their center. Pathophysiology: The normal stomach maintains a balance between the protective factors, mucus and bicarbonate...
Upper Gastrointestinal Bleeding (2 of 15)
In the image and video you can observe active bleeding emerging from the giant ulcer. The patient received several gastric lavages with ice cold water by the doctor who sent us the patient. During...
Upper Gastrointestinal Bleeding (1 of 15)
A 76 year-old female which had a daily dose of aspirin, presents with abundant hematemesis and melenic stools, paleness, and hypotension a day before the endoscopy. The image and video shows a giant...
The Cameron Erosion
Hiatal Hernia with Cameron Erosion Erosion that located on the top of the rugal folds comprising the distal rosette of a hiatal hernia. An 84 year-old female with upper gastrointestinal hemorrhage...
Irregular Ulcer at the Corpus - 92 Years-Old...
A 92 year-old male that has been hospitalized due weight loss and anemia his hemoglobin was 10 mg./dl. An irregular ulcer was found at the corpus, 10 fragment of biopsies were obtain no evidence of...
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