Bleeding – From Surgical Hemostasis to Emergency Management
Long Standing Alcohol Abuse - Presence of Esophageal...
The portal vein carries approximately 1500 mL/min of blood from the small and large bowel, the spleen, and the stomach to the liver. Obstruction of portal venous flow, whatever the etiology, results...
Long Standing Alcohol Abuse - Large Varix Under...
Magnifying view. A large varix was ligated as is seen with magnifying endoscope.
Long Standing Alcohol Abuse - Procedure of Esophageal...
The video displays multiple varices that have been banding. The technique is an adaptation of that applied to banding ligation of internal hemorrhoids.
Long Standing Alcohol Abuse - Ligation of Nine...
Nine varices were ligated in this session. Long term results comparing band ligation to sclerotherapy reveal that banding requires less number of sessions for active eradication of varices.
Long Standing Alcohol Abuse - Ligation of Esophageal...
The video clip and the image display one varix is banding. The varix is suctioned into the banding apparatus. The role of endoscopic band ligation in secondary prophylaxis is now indisputable, especially...
Long Standing Alcohol Abuse - View Through Special...
Fitted with a suction cap adapter and passed back down to the level of the GE junction. The varix with the red spot at the GE junction is identified, then gently sucked up into the cap and the band...
Long Standing Alcohol Abuse - Radial Endosonography,...
Radial Endosonography. Endoluminal US demonstrated the varices as anechoic areas with communications in the submucosal, periesophageal, and perigastric regions.
Long Standing Alcohol Abuse - Radial Endosonography,...
Radial Endosonography. The intraluminal varices are being compressed by the water-filled balloon, and are hardly visible on the endosonographic image. Varices are identified as multiple, well-circumscribed,...
Long Standing Alcohol Abuse - 68 Years-Old Man
This 68 year old man, has a history of long standing alcohol abuse, had two episodes of gastrointestinal bleeding. Multiple red spot are seen. One of the most ominous complications of portal hypertension...
Upper GI Bleeding Due to Esophageal Varices -...
Two rubber band have been applied at the site of the bleeding.
Upper GI bleeding due to Esophageal Varices -...
Endoscopic ligation of esophageal varices requires placement of an opaque cylinder over the end of the endoscope. The exact site of the hemorrhage is ligated
Upper GI Bleeding Due to Esophageal Varices -...
By retrofletion the gastric cardia is inspected observing the exact site of the bleeding. One of the most ominous complications of portal hypertension is hemorrhage from esophageal or gastric varices....
Upper GI Bleeding Due to Esophageal Varices -...
More images and video clips of the exact site of the bleeding. Close-up view of the fibrin plug.
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