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Barrett's Esophagus of long segment (1 of...

Gastroenterology Atlas

A 66 year-old male with chronic gastroesophageal reflux disease. Barrett's esophagus is a condition in which an abnormal columnar epithelium replaces the stratified squamous epithelium that normally...

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Barrett's Esophagus of long segment (2 of...

Gastroenterology Atlas

Barrett's Esophagus with residual islands of squamous epithelium. Squamous islands are frequently visualized at the time of upper endoscopy in patients with Barrett's esophagus, especially those...

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Barrett's Esophagus of long segment (3 of...

Gastroenterology Atlas

Barrett's Esophagus retroflexed view. The columnar metaplasia in Barrett's esophagus causes no symptoms. Thus, most patients are seen initially for symptoms of the associated GERD such as heartburn,...

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Barrett's Esophagus of long segment (4 of...

Gastroenterology Atlas

More images and video clips of Barrett´s Esophagus. Several tongues of gastric-appearing mucosa extend above the esophagogastric junction into the distal esophagus. Squamous islands may be remnants...

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Barrett's Esophagus of long segment (5 of...

Gastroenterology Atlas

Residual islands of squamous epithelium. Definition of Barrett's Esophagus -- Barrett's esophagus is a change in the esophageal epithelium of any length that can be recognized at endoscopy and is...

views: 262 comments: 0

Barrett's Esophagus of long segment (6 of...

Gastroenterology Atlas

The video clip shows the reflux evidence due to the fact that gastric juice emerging to the esophagus. Falk GW. Gastroenterology. 2002 May;122(6):1569-91. Barrett's esophagus is an acquired condition...

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Barrett's Esophagus of long segment (7 of...

Gastroenterology Atlas

Zoom endoscopy of a tongue of Barretts mucosa showing cerebriform villous architecture. Enhanced magnification endoscopy. The endoscopic classification of Barretts esophagus is based on the similarities...

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Barrett's Esophagus of long segment (8 of...

Gastroenterology Atlas

Tongue of Barretts mucosa showing cerebriform villous architecture. The salmon-colored mucosa in the distal esophagus is columnar and consists of a mosaic of fundic mucosa, cardiac mucosa, and intestinal...

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Barrett's Esophagus of long segment (9 of...

Gastroenterology Atlas

Chromoendoscopy using methylene blue. Chromoendoscopy involves the topical application of stains or dyes to improve mucosal visualization during endoscopy.

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Barrett's Esophagus of long segment (10...

Gastroenterology Atlas

Argon Plasma Coagulator (APC) The image and the video clip display, the violet light of the APC. Studies have demonstrated reversal of Barrett's mucosa after endoscopic coagulation with different...

views: 237 comments: 0

Barrett's Esophagus of long segment (11...

Gastroenterology Atlas

Another image and video clip of the APC. Patients with Barrett's esophagus have a 30- to 125-fold increased risk of the development of esophageal cancer in comparison with the general population....

views: 247 comments: 0

Barrett's Esophagus of long segment (12...

Gastroenterology Atlas

Appearance post using the argon plasma coagulator. Optical methods either alone or in combination with chromoendoscopy are likely to hold the key to better targeting, to increase biopsy yield in Barrett’s...

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Barrett's Esophagus of long segment (13...

Gastroenterology Atlas

Appearance post using the argon plasma coagulator. For methylene blue staining, the patient should be told that the urine and stool might adopt a blue color.

views: 259 comments: 0

Barrett's Esophagus of long segment (14...

Gastroenterology Atlas

The image and the video clip shows magnification of the tissue that have coagulated.

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Barrett's Esophagus of long segment (15...

Gastroenterology Atlas

One month after the therapy with argon plasma coagulator APC. An endoscopic follow up. Note that the long segments of the Barrett have been diminished.

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Barrett's Esophagus of long segment (16...

Gastroenterology Atlas

A hiatus hernia with complete incompetence of the sphincter is observed.

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Barrett's Esophagus of long segment (17...

Gastroenterology Atlas

One month after the therapy with argon plasma coagulator APC.

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Barrett's Esophagus of long segment (18...

Gastroenterology Atlas

Chromoendoscopy using Lugol's solution. Chromoendoscopy involves the application of vital dyes that enhance the visibility of dysplastic mucosa. Vital dyes that have been studied include those that...

views: 264 comments: 0

Barrett's Esophagus of long segment (19...

Gastroenterology Atlas

Endoscopic techniques to detect dysplasia. Several endoscopic techniques that could augment the ability to detect dysplasia have been evaluated. These include chromoendoscopy, magnification endoscopy,...

views: 231 comments: 0

Barrett's Esophagus of long segment (20...

Gastroenterology Atlas

High power setting argon plasma coagulation. One month of the previous therapy another endoscopic session with APC. In this endoscopy we used a double-channel endoscope and APC catheter of 3.2 mm....

views: 241 comments: 0

Barrett's Esophagus of long segment (21...

Gastroenterology Atlas

APC treatment of Barrett's esophagus is simple, efficacious and safe. Reversal of Barrett's mucosa can be achieved by a few endoscopic sessions. But long term follow-up studies on many patients are...

views: 242 comments: 0

Barrett's Esophagus of long segment (22...

Gastroenterology Atlas

The image and the video clip display the APC ablation. Most patients with BE will not develop esophageal cancer and will die of other causes, as in the general population. The risk of progression...

views: 243 comments: 0

Barrett's Esophagus of long segment (1 of...

Gastroenterology Atlas

This 41 year-old male presented with long-standing GERD. Endoscopy shows tongues of Barrett esophagus.

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Barrett's Esophagus of long segment (2 of...

Gastroenterology Atlas

People with "long-segment" Barrett's esophagus, in which the red lining is 3 cm or more in length, are about 40 times more likely than those in the general population to develop esophageal cancer....

views: 243 comments: 0

Barrett's Esophagus of long segment (3 of...

Gastroenterology Atlas

Among patients who have endoscopic examinations because of chronic GERD symptoms, long segment Barrett's esophagus can be found in 3 to 5 percent, whereas 10 to 15 percent have short-segment Barrett's...

views: 253 comments: 0

Barrett's Esophagus of long segment (4 of...

Gastroenterology Atlas

Esophagectomy has been the treatment of choice for patients with Barrett's esophagus and high-grade dysplasia (HGD) or adenocarcinoma. However, the reported morbidity and mortality rates for this...

views: 249 comments: 0

Barrett's Esophagus of long segment (5 of...

Gastroenterology Atlas

Ablative Therapy with APC. 90 W. argon plasma coagulation (APC) for the ablation of Barrett's esophagus. Preliminary studies have demonstrated reversal of Barrett's mucosa after endoscopic coagulation...

views: 290 comments: 0

Barrett's Esophagus of long segment (6 of...

Gastroenterology Atlas

The goal of ablative therapy is to destroy the Barrett epithelium to a sufficient depth to eliminate the intestinal metaplasia and allow regrowth of squamous epithelium. A number of modalities have...

views: 241 comments: 0

Barrett's Esophagus of long segment (7 of...

Gastroenterology Atlas

Human studies have been performed with photodynamic therapy (PDT), argon plasma coagulation (APC), multipolar electrocoagulation (MPEC), heater probes, and various forms of lasers, endoscopic mucosal...

views: 244 comments: 0

Barrett's Esophagus of long segment (8 of...

Gastroenterology Atlas

The long-term relapse rate of non-neoplastic BE following complete ablation with high-power APC is low. APC is a method of contact-free high-frequency current coagulation in which the burning of tissue...

views: 245 comments: 0

Barrett's Esophagus of long segment (9 of...

Gastroenterology Atlas

Final status, after the Argon plasma coagulation therapy. Another area of intense research in the setting of BE is the study of biomarkers that may predict an increased risk of progression to cancer....

views: 239 comments: 0

Barrett's Esophagus of long segment (10...

Gastroenterology Atlas

Six months after, a follow up endoscopy was performed. The tongues of Barrett epithelium have been shortened.

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Barrett's Esophagus of long segment (11...

Gastroenterology Atlas

A new session of ablative therapy will be needed.

views: 235 comments: 0

Barrett's Esophagus "short segment" (1 of...

Gastroenterology Atlas

Traditionally, Barrett's esophagus was defined as the presence of columnar mucosa extending >/= 3 cm into the tubular esophagus. This definition has evolved into the presence of any specialized columnar...

views: 271 comments: 0

Barrett's Esophagus "short segment" (2 of...

Gastroenterology Atlas

Treatment of short segment of Barrett´s esophagus with APC of high-frequency current coagulation. There has been a recent focus on "short segment" Barrett's esophagus--intestinal metaplasia in the...

views: 294 comments: 0

Barrett's Esophagus "short segment" (3 of...

Gastroenterology Atlas

APC is a method of contact-free high-frequency current coagulation.

views: 285 comments: 0

Barret´s Esophagus long segment (1 of 4)

Gastroenterology Atlas

A 106 year-old female, who presented abdominal pain, anorexia and long standing gastroesophageal reflux disease. An upper endoscopic evaluation was performed. A big hiatus hernia, para-esophageal...

views: 277 comments: 0

Barret´s Esophagus long segment (2 of 4)

Gastroenterology Atlas

Another image and video of the Barret´s Esophagus The patient’s birth date is displayed in the endoscopic image; May 5, 1897. With her 106 years of age, she displayed an unremarkable mental status...

views: 253 comments: 0

Barret´s Esophagus long segment (3 of 4)

Gastroenterology Atlas

A hiatus hernia is observed in retroflexed maneuver. The patient´s furthermore symptoms that were described before are from a urinary tract infection and gallstones.

views: 241 comments: 0

Barret´s Esophagus long segment (4 of 4)

Gastroenterology Atlas

To the right, a hiatus hernia is observed, and to the left a para-esophageal hernia is seen (retroflexed image)

views: 238 comments: 0

Long Segment of Barrett´s Esophagus.

Gastroenterology Atlas

A 90 year-old male with a long history of reflux disease. The endoscopy, demonstrated a long segment of Barrett´s esophagus confirmed histopatologically.

views: 242 comments: 0

Barrett's Esophagus of long segment (23 of 24)
N/A

Barrett's Esophagus of long segment (23...

Gastroenterology Atlas

Alcian Blue Stains. There is ectopic gastric mucosa with incomplete intestinal metaplasia , with goblet cells (alcian blue) The diagnosis of Barrett’s esophagus requires both endoscopic and histologic...

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Barrett's Esophagus of long segment (24 of 24)
N/A

Barrett's Esophagus of long segment (24...

Gastroenterology Atlas

Alcian Blue Stains. Alcian blue goblet cells are seen at the ectopic gastric mucosa. Specialized columnar epithelium characterized by alcian blue-positive and mucin-containing goblet cells. This...

views: 684 comments: 0

Orthodontic Case #3 - Mesialize Maxillary...

Ashley Mark

Here is the beginning stages of mesializing the maxillary posterior segment suing class 3 elastics. I attach the elastic to the molar hook and the K Hook on the mandibular canines - I have no idea how...

views: 2350 comments: 0