Ulcer – A Deep Dive into Gastrointestinal Lesions

Adenocarcinoma Billroth II Crohn's disease Entamoeba histolytica NSAIDS STENOSIS Zollinger-Ellison syndrome absolute alcohol angular incisure antrum bleeding cancer clip colon colonoscopy duodenum endoscopy fistula gastric corpus gastric fundus gastroscopy inflammation pseudopolipy rectum stomach
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Ulcer at Anastomosis of a Billorth II Gastrectomy...

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Peptic jejunal ulcers at the efferent loop.

Ulcer at Anastomosis of a Billorth II Gastrectomy...

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The video clip displays a long segment of a jejunum during withdrawal maneuver to the ulcerated anastomosis, a retained suture is seen.

Ulcer at Anastomosis of a Billorth II Gastrectomy...

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The image displays the afferent and efferent loops.

Ulcer at Anastomosis of a Billorth II Gastrectomy...

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65 year-old man, 17 months previously had gastric surgery due to acute abdomen due to a perforated gastric ulcer After his surgery, he drank alcoholic beverages. See the sequences of the images and...

Ulcer of Gastric Fundus

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A 69 year-old female with severe epigastric pain nausea and vomiting.

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...

Upper Gastrointestinal Bleeding (6 of 15)

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Here you can observe active bleeding at the gastric fundus. Cigarette smoking can affect gastric mucosal defense adversely. Cigarette smoking is believed to play a facultative role in H pylori infection,...

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