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Hemorrhage due status post rubber band ligation...

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Two years later the patient re-bleeds, She had not taken a suitable medical control, the cirrhosis has progressed, now with ascitis. The hemoglobin was 6.0 gr/dl.

Hemorrhage due status post rubber band ligation...

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This post-procedure control image shows no active bleeding. After a period of observation the procedure was considered complete. The patient was discharged from the hospital the next day. The image...

Hemorrhage due status post rubber band ligation...

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In sequence to the images presented above, you can see hemorrhage and blood clots, consequence of the last injection. The endoscopist needs to develop a certain degree of self-confidence.

Hemorrhage due status post rubber band ligation...

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Some bleeding is observed as a consequence of the sclerotherapy. The bleeding, which originated in the variceal wall, stopped spontaneously.

Hemorrhage due status post rubber band ligation...

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The fourth sclerotherapy is displayed in this image as well as the video clip.

Hemorrhage due status post rubber band ligation...

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Endoscopy of Variceal Sclerotherapy The injector is retracted and a small ulcer is observed as a result of the injection.

Hemorrhage due status post rubber band ligation...

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Maintaining a certain force on the injector during 4 minutes Polydocanol was injected.

Hemorrhage due status post rubber band ligation...

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This image and the video show the third sclerotherapy applied on a large vein which presented with various red signs. Variceal appearance on endoscopy ("red signs") Red wale marks (longitudinal...

Hemorrhage due status post rubber band ligation...

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The image and video display the retraction caused by the injector as well as a slight hemorrhage which originates in the variceal wall.

Hemorrhage due status post rubber band ligation...

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1.5 ml of Polydocanol at 1.5% was injected with a 4.15 minute time delay before the injector was retracted.

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