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Upper Gastrointestinal Bleeding - Posthemorrhagic...

Gastroenterology Atlas

Various methods of endoscopic hemostasis for esophageal varices have been described, sclerotherapy, rubber band ligation, hemoclips etc.

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Long Standing Alcohol Abuse - Ligation of...

Gastroenterology Atlas

The video clip and the image display one varix is banding. The varix is suctioned into the banding apparatus. The role of endoscopic band ligation in secondary prophylaxis is now indisputable, especially...

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Ligation of Esophageal Varices - Fallen...

Gastroenterology Atlas

One band falls, observing the ulcer in the tip of the varix

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Gastric Varices - Endoscopic Ablation With...

Gastroenterology Atlas

Fibrin and ulcers of post banding at the esophagus are displayed

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Upper GI Bleeding Due to Esophageal Varices...

Gastroenterology Atlas

More images and video clips of the exact site of the bleeding. Close-up view of the fibrin plug.

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Hemorrhage After Ligation - Status Post...

Gastroenterology Atlas

This image and the video clips show the status post hemostatic maneuvers that have been performed.

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Acute Variceal Bleeding - Assessment of...

Gastroenterology Atlas

Gastric cardias is observed (retroflexed image)

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Endoscopic Variceal Ligation - Status Post...

Gastroenterology Atlas

The images and the video clips display some varices that have been ligated and some post ligated ulceration.

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Gastric Adenocarcinoma With Varices - Endoscopy...

Gastroenterology Atlas

This image display the neoplasia in frontal view.

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Endoscopic Variceal Ligation - Status Post...

Gastroenterology Atlas

The image and the video clip displays one varix that has been ligated as well as a status post banding (3 weeks) retroflexed image.

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Gastric Varices (14 of 25)

Gastroenterology Atlas

In this video clip, another shot of the mixture of glue is injected, after retiring the needle a slight bleeding of wall is observed.

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Upper GI Bleeding Due to Esophageal Varices...

Gastroenterology Atlas

A yellowish fibrin plug is visible in the 1 o'clock varix indicating the site of recent bleeding. The exact site of the bleeding has been identify in the Gi Junction, white point of above.

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Long Standing Alcohol Abuse - Spurting Esophageal...

Gastroenterology Atlas

Spurting esophageal varix. Due to the retroflexed maneuver, the tip of the endoscope touched causing this bleeding that was resolved easily with argon plasma coagulator.

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Upper Gastrointestinal Bleeding - Site of...

Gastroenterology Atlas

This image and the video clip shows the exact site of this hemorrhage.

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Hemorrhage Due Status Post Rubber Band Ligation...

Gastroenterology Atlas

Many varices are appreciated with “the red sign”.

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Ligation of Esophageal Varices - Varix with...

Gastroenterology Atlas

More image and video clip of the varix and it ulceration The mucosa and submucosa of the esophagus (containing the variceal channels) are ensnared, leading to strangulation, sloughing, and eventual...

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Upper Gastrointestinal Tract - Bleeding...

Gastroenterology Atlas

Continuous flow of blood from the varix. Gastric varices occur in about 20% of patients with portal hypertension and approximately 25% of gastric varices bleed during lifetime. Gastric variceal bleeding...

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Upper Gastrointestinal Tract - Bleeding...

Gastroenterology Atlas

The video clip displays the APC stopping the hemorrhage. Endoscopic variceal ligation is safer and more efficacious than sclerotherapy as initial treatment of bleeding esophageal varices, whereas...

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Acute Variceal Bleeding - Erosionated Varix...

Gastroenterology Atlas

Gastric cardias retroflexed maneuver, an erosionated varix is observed, more therapeutic with banding is planned.

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Gastric Adenocarcinoma With Varices - Endoscopy...

Gastroenterology Atlas

Islated gastric varices are more common with adenocarcinoma of the pancreas due to splecnic thrombosis

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Hemorrhage Due Status Post Rubber Band Ligation...

Gastroenterology Atlas

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

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Acute Variceal Bleeding - Varices after...

Gastroenterology Atlas

More bands have been placed on the varices, resulting in spherical blebs. Note the colored elastic bands strangulating each varix at the base.

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Gastric Varices - Endoscopic Ablation With...

Gastroenterology Atlas

Status post variceal ligation is observed at the cardias.

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Acute Variceal Bleeding - Follow Up 7 Days...

Gastroenterology Atlas

Seven days after banding a new endoscopy was performed the image and the video clip exhibit the post banding status. All varices that were ligated are in necrotic stage.

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Acute Variceal Bleeding - Necrotic Varices...

Gastroenterology Atlas

Band-ligation may not be a permanent solution since varices can recur after initial eradication, requiring continued surveillance.

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Linear Gastric Varices (1 of 3)

Gastroenterology Atlas

Linear varices in the gastric body of a 72 year-old man with abdominal pain and weight loss. There were no varices in the esophagus or gastric cardia. The woman was ultimately found to have pancreatic...

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Severe Bleeding of the Upper Digestive System...

Gastroenterology Atlas

Image and video clip, immediately after performing therapy with bands. Apparently this was the varix, which subsequently caused the hemorrhage, despite having been ligated. Bleeding is observed in...

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Severe Bleeding of the Upper Digestive System...

Gastroenterology Atlas

This image, and in the video clip shows the varix that causes this severe episode of bleeding. Enough water was used to clear and wash the bleeding.

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Banding of Esophageal Varices - Two Weeks...

Gastroenterology Atlas

A new follow up after two weeks of the variceal band treatment. Status post treatment was observed, some ulcers where the varices were found. The rubber band has already fallen off, leaving behind...

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Hemorrhage After Ligation - Varix with a...

Gastroenterology Atlas

There are a varix with a blood clot in front of the previous one, give us the suspicion of being another site of bled.

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Upper Gastrointestinal Bleeding - Identification...

Gastroenterology Atlas

This image shows a blood clot where identify the site of the bleeding.

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Upper GI Bleeding Due to Esophageal Varices...

Gastroenterology Atlas

By retrofletion the gastric cardia is inspected observing the exact site of the bleeding. One of the most ominous complications of portal hypertension is hemorrhage from esophageal or gastric varices....

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Acute Variceal Bleeding - Blood Emerging...

Gastroenterology Atlas

The image and the video display active variceal bleeding that is appreciated through the banding apparatus. Emergency endoscopic therapy requires a skilled endoscopist. Banding ligation was first...

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Hemorrhage After Ligation - Banding of Esophageal...

Gastroenterology Atlas

This picture as well as the video clip display some varices with the red sign that were ligated.

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Alcoholic Cirrhosis - Coagulation of Site...

Gastroenterology Atlas

In order to stop the hemorrhage, the argon plasma coagulator is used to coagulate the exact site of the bleed

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Variceal Bleeding - Typical Case

Gastroenterology Atlas

One of the most ominous complications of portal hypertension is hemorrhage from esophageal or gastric varices. Patients who bleed from varices have a poor long-term prognosis, irrespective of treatment...

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Gastric Adenocarcinoma With Varices - Endoscopy...

Gastroenterology Atlas

Some isolated gastric varices were found at the fundus.

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Acute Variceal Bleeding - Ligation of Multiple...

Gastroenterology Atlas

This image and video display multiple varices that have been ligated.

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Long Standing Alcohol Abuse - Scars

Gastroenterology Atlas

Multiple scars are seen in this image as well as the video clip.

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Gastric Varices (6 of 25)

Gastroenterology Atlas

8 months after the first endoscopy the patient began with her first hemorrhage presenting several episodes of hematemesis and melena. This emergency endoscopy was carry out in the operation room...

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Hemorrhage Due Status Post Rubber Band Ligation...

Gastroenterology Atlas

The image and the video display bleeding from esophageal varix.

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Lower Esophageal (Schatzki) Ring with esophageal...

Gastroenterology Atlas

A 59 year-old male with esophageal reflux disease presenting with episodes of cough and chest pain. 14 years ago, underwent a splecnectomy

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Long Standing Alcohol Abuse - Multiple Scars...

Gastroenterology Atlas

A retroflexed view of the esophagus is observed, the multiple scars of the status post banding are seen.

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Long Standing Alcohol Abuse - Argon Plasm...

Gastroenterology Atlas

In this image and the video clip, the Probe of the argon plasma coagulator is observed that will initiate the therapeutical approach. Endoscopic variceal ligation is an established procedure for...

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Long Standing Alcohol Abuse - Shallow Ulcers...

Gastroenterology Atlas

Shallow ulcers at the site of each ligation are the rule and rarely bleed.

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Hemorrhage After Ligation - Closer Look...

Gastroenterology Atlas

Endoscopic variceal ligation is safer and more efficacious than sclerotherapy as initial treatment of bleeding esophageal varices, whereas cyanoacrylate injection is the endoscopic treatment of choice...

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Banding of Esophageal Varices - Assessment...

Gastroenterology Atlas

The video clip displays a long tract of the esophagus displaying multiple varices.

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Gastric Adenocarcinoma With Varices - Endoscopy...

Gastroenterology Atlas

This image and the video clip display chromoendoscopy with lugol´s stain. Chromoendoscopy and vital staining are simple adjunct methods to improve the yield of endoscopic.

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