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Nonsteroidal Anti-inflammatory Drug Induced Colonic...

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Abstract: The term nonsteroidal antiinflammatory drug (NSAID) colopathy describes a spectrum of changes in the large bowel, including inflammation, ulceration, and stricture formation that occur secondary...

Gastric Ulcers and Erosions

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Nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, ibuprofen, and piroxican, can be direct irritants and can cause of gastritis.

Erosive Antral Gastritis

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A 71 year-old male who had severe epigastric pain for several days, he had been using aspirin.

Multiple Gastric Ulcers (2 of 2)

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Endoscopic Image of multiple Gastric Ulcers Gastric ulcers are observed at the corpus and fundus.

Multiple Gastric Ulcers (1 of 2)

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An 87 year-old female with multiple gastric ulcers. The Patient had a history of severe epigastric pain for several months and had been under non-steroid analgesic treatment. There are several larger...

Pyloric Ulcers

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Patient had a history of severe epigastric pain for several months due to treatment of non-steroid analgesics (NSAID)

Upper Gastrointestinal Bleeding (15 of 15)

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Another image and video of this endoscopic sequence. The antrum is observed with diffuse redness and rest of blood. Occasionally, a gross horizontal fibrous contracture in association with long-standing...

Upper Gastrointestinal Bleeding (14 of 15)

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Another image and video clip of the ulcers, we now observe little signs of bleeding. After the second endoscopy, the bleeding was stop entirely. This can be seen in the video, that the bleeding was...

Upper Gastrointestinal Bleeding (13 of 15)

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Multiple giant ulcers which presented several bleeding sites treated with Argon Plasma Coagulator (APC)

Upper Gastrointestinal Bleeding (12 of 15)

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Multiple ulcers were treated with APC successfully stopping the bleeding.

Upper Gastrointestinal Bleeding (11 of 15)

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Several ulcers at the incisura angularis an gastric body seen in retroflexion.

Upper Gastrointestinal Bleeding (10 of 15)

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Again, we can observed several giant ulcers.

Upper Gastrointestinal Bleeding (9 of 15)

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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)

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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)

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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...

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