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Severe Bleeding after Biopsies (1 of 7)

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A 91 year-old male 10 years before underwent a subtotal gastrectomy due to gastric adenocarcinoma of the antrum recently appeared a mass in the pancreato-biliary tree causing jaundice, An endoscopy...

Abdominal Compartment Syndrome due to Malignancy...

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A transgastric periteneoscopy, a part of the peritoneal cavity is observed.

Abdominal Compartment Syndrome due to Malignancy...

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After the gastric wall is open, a transgastric endoscopic access of the peritoneal cavity is seen in the video clip

Abdominal Compartment Syndrome due to Malignancy...

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Injection therapy with absolute alcohol.

Abdominal Compartment Syndrome due to Malignancy...

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To perform the hemostasis the argon plasma coagulator was used combined with the absolute alcohol

Abdominal Compartment Syndrome due to Malignancy...

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A pulsatile bleeding emerging from the gastric wall.

Abdominal Compartment Syndrome due to Malignancy...

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The gastric wall was open using a sphincterotome, the video clip shows the ascites draining across the gastric wall, the Intra-abdominal pressure was overcome.

Abdominal Compartment Syndrome due to Malignancy...

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After the gastric walls was opened a hydrostatic balloon was used to dilate the small hole.

Abdominal Compartment Syndrome due to Malignancy...

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In order to relief the ascites a transgastric procedure was performed, first a pre-cut needle was used through an duodenoscope.

Abdominal Compartment Syndrome due to Malignancy...

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At the gastric fundus is observed two extrinsic compression

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