Ulcer – A Deep Dive into Gastrointestinal Lesions

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Duodenal Ulcer and Bleeding (21 of 23)

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Across the water is observed the ulcer

Duodenal Ulcer and Bleeding (20 of 23)

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In total they were 4 infiltration of different quadrants around the ulcer of 0.5 ml each of absolute alcohol.

Duodenal Ulcer and Bleeding (19 of 23)

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It continues with the therapeutic endoscopy inyecting many doses of absolute alcohol.

Duodenal Ulcer and Bleeding (18 of 23)

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A spurting bleeding of the duodenal ulcer It applies injection of absolute alcohol 0.5 ml. each

Duodenal Ulcer and Bleeding (17 of 23)

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A spurting bleeding of the duodenal ulcer

Duodenal Ulcer and Bleeding (16 of 23)

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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)

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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)

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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)

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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)

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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)

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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)

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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)

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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)

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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)

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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...

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