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Severe Bleeding of the Upper Digestive System...

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Continuing with the process of ligation

Severe Bleeding of the Upper Digestive System...

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In this first session six varices were ligated.

Severe Bleeding of the Upper Digestive System...

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This 57 year-old male with chronic alcoholism and cirrhosis of the liver with esophageal varices, had been previously hospitalized in two occasions due to a severe upper gastrointestinal bleeding....

Esophageal Variceal Bleeding - Varices After...

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In total there were six varices that were ligated a new session will be programmed shortly. Thrombocytopenia, presence of encephalopathy, low hemoglobin on admission, and endoscopic findings large...

Esophageal Variceal Bleeding - Placement of Bands

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In this video clip can observe the placement of some bands. Endoscopic ligation requires placement of an opaque cylinder over the end of the endoscope. This decreases the endoscopic field of view...

Esophageal Variceal Bleeding - Accurate Presentation...

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Therapy is initiated with bands Endoscopic variceal ligation is based on the widely used technique of rubber-band ligation of hemorrhoids. The esophageal mucosa and the submucosa containing varices...

Esophageal Variceal Bleeding - Varices in the...

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Within the gastroesophageal junction are seen several varices with the red sign.

Esophageal Variceal Bleeding - Chains of the...

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Note the chains of varices, retroflexed maneuver into the esophagus.

Esophageal Variceal Bleeding - 42 Years-Old Men

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42 year- old male, 15 days earlier, had been hospitalized for Esophageal Variceal Bleeding was referred to our endoscopic unit for specific treatment placing six bands.

Long Standing Alcohol Abuse - Banded Varices...

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There are some ligated varices at the mid esophagus. The evolution of the patient has been satisfactory to date.

Long Standing Alcohol Abuse - Banded Varices...

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Some varices are banding above of the multiple scars.

Long Standing Alcohol Abuse - Follow Up After...

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One month after the previous images. Six varices were ligated in this session of therapy.

Long Standing Alcohol Abuse - Argon Plasm Coagulation,...

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The bleeding was overcome easily with this therapeutical resource. Use of argon plasma coagulation (APC) to promote mucosal fibrosis has been described in some clinical setting. Argon Plasma Coagulator...

Long Standing Alcohol Abuse - Argon Plasm Coagulation,...

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To overcome this bleeding the argon plasma coagulator was used. Endoscopic ligation of esophageal varices combined with APC is superior to ligation alone. Since APC is theoretically well suited for...

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