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Duodenal Ulcer and Bleeding (16 of 23)
After washing hardly, it was localized the exact site of the bleeding. One vessel exposed of a duodenal ulcer in the same zone where five years ago it had caused the same problem.
Duodenal Ulcer and Bleeding (15 of 23)
Another bleed five years later Five years later the patient went to our office very palid ,taquicardic, and with hyportension with 2 days of being suffering of melenas. Immediately it was realized...
Duodenal Ulcer and Bleeding (14 of 23)
Visible vessels are observed. It has been recommended that all visible vessels of peptic ulcers, irrespective of inactive bleeding, be treated by the endoscopic hemostatic procedure at the first endoscopy,...
Duodenal Ulcer and Bleeding (13 of 23)
More images and video clips of the status post therapeutic treatment. A second-look endoscopy is often performed to evaluate the efficacy of a prior injection therapy in patients with bleeding peptic...
Duodenal Ulcer and Bleeding (12 of 23)
Endoscopic follow-up examination To the sixth day of the therapeutic procedure, a new endoscopy was performed, observing the status post therapeutic treatment.
Duodenal Ulcer and Bleeding (11 of 23)
Combined Therapeutical methods. This treatment combines successfully the use of the sclerotherapy with absolute alcohol and the placement of rubber bands onto the bleeding site.
Duodenal Ulcer and Bleeding (10 of 23)
At present time, there is no consensus as to the best treatment for non-variceal, non-ulcer gastrointestinal hemorrhage.
Duodenal Ulcer and Bleeding (9 of 23)
The use of endoscopic band ligation is being extended to treat various causes of upper and lower gastrointestinal bleeding. Endoscopic band ligation is currently considered to be the treatment of...
Duodenal Ulcer and Bleeding (8 of 23)
Endoscopic band ligation for control of acute peptic ulcer bleeding. After the hemostatic procedure with absolute ethanol injection, and in order to avoid the re-bleeding, the vessel, is suctioned...
Duodenal Ulcer and Bleeding (7 of 23)
On the image and video the ulcer can be seen, soon after the alcohol injections. And in order to rule out the possibility that bleeding was caused by an arterial branch with a big vessel, and therefore...
Duodenal Ulcer and Bleeding (6 of 23)
The site of acute peptic ulcer bleeding was in the anterior wall of the duodenal bulb.
Duodenal Ulcer and Bleeding (4 of 23)
After the injection of 0.5 cc alcohol, we removed the needle and planned three more shots.
Duodenal Ulcer and Bleeding (3 of 23)
It is observed the sclerotherapy needle, injecting absolut alcohol on the anterior wall of the duodenal bulb. Despite advances in medical management, gastrointestinal bleeding remains a substantial...
Duodenal Ulcer and Bleeding (2 of 23)
Injection Therapy of Bleeding Duodenal Ulcer. Immediately after the endoscopic diagnosis, we performed a combined an aggressive therapeutic procedure, consisting of sclerotherapy with absolute alcohol...
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