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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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Hemorrhage Due Status Post Rubber Band Ligation...

Gastroenterology Atlas

Many varices are appreciated with “the red sign”.

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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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Gastric Varices - Endoscopic Ablation With...

Gastroenterology Atlas

Status post variceal ligation is observed at the cardias.

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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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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 - Site of...

Gastroenterology Atlas

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

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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...

views: 990 comments: 0

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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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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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...

views: 986 comments: 0

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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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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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...

views: 981 comments: 0

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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Long Standing Alcohol Abuse - Scars

Gastroenterology Atlas

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

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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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Acute Variceal Bleeding - Ligation of Multiple...

Gastroenterology Atlas

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

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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

Some isolated gastric varices were found at the fundus.

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Hemorrhage After Ligation - Banding of Esophageal...

Gastroenterology Atlas

Endoscopic view of Banding of esophageal varices. Endoscopic variceal ligation has evolved to be the preferred first line modality for the endoscopic treatment of Esophageal Variceal Bleeding.

views: 970 comments: 0

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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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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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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Banding of Esophageal Varices - Exudative...

Gastroenterology Atlas

The image and the video show multiple oozing ulcer.

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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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Hemorrhage After Ligation - Banding After...

Gastroenterology Atlas

The site of the bleeding was re- ligated with rubber bands in spite of previous ligated, six day ago. The hemorrhage was stopped.

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Linear Gastric Varices (2 of 3)

Gastroenterology Atlas

Linear Gastric Varices. Gastric variceal bleeding can be challenging to the clinician

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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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Upper Gastrointestinal Bleeding - Blood...

Gastroenterology Atlas

Red brilliant blood is emerging from the site of the hemorrhage observed in the GI junction.

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Alcoholic Cirrhosis - Presence of Scars...

Gastroenterology Atlas

Several scars are seen in this area. Band ligation is now considered the first-line endoscopic therapy for esophageal varices. The band ligator is readily attached to the distal end of the endoscope,...

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Long Standing Alcohol Abuse - Large Varix...

Gastroenterology Atlas

Magnifying view. A large varix was ligated as is seen with magnifying endoscope.

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Acute Variceal Bleeding - Next Session of...

Gastroenterology Atlas

One week after endoscopic variceal ligation (EVL) The varices are still strangulated by the elastic O- rings and become necrotic.

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Gastric Varices (13 of 25)

Gastroenterology Atlas

Withdrawing the needle from the varix, washing it with saline solution to avoid be occluded by the glue and thus reuses it.

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Acute Variceal Bleeding - Accumulation of...

Gastroenterology Atlas

This image and the video display active bleeding that is accumulated in the gastric fundus. Around the world there are diverses publications and experiences regarding varices many author disagree between...

views: 937 comments: 0

Acute Variceal Bleeding - Violet Varix with...

Gastroenterology Atlas

Gastric cardias in retroflexed image, the ligated varix is seen with some color violet, beginning the necrosis. As seen through the banding apparatus attached to the tip of the endoscope. Ligation...

views: 937 comments: 0

Hemorrhage After Ligation - Acute Variceal...

Gastroenterology Atlas

Acute Variceal Bleed Six days after the varices were strangulated, patient initiated with hematemesis, an emergency endoscopy was performed to determine the source of the bleeding

views: 936 comments: 0

Ligation of Esophageal Varices - Varix with...

Gastroenterology Atlas

We can see an esophageal varix with a white point (ulcer) The probable bleeding point has been identified, with extensive fibrosis in the surrounding area because of previous banding sessions.

views: 932 comments: 0

Hemorrhage due status post rubber band ligation...

Gastroenterology Atlas

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

views: 931 comments: 0

Hemorrhage After Ligation - Searching For...

Gastroenterology Atlas

There are two possible sites of the bleeding two varices that were previously ligated, hemostatic maneuver has been applied with APC.

views: 931 comments: 0

Severe Bleeding of the Upper Digestive System...

Gastroenterology Atlas

There are multiple varices without being ligated, coagulation process is continuous with argon wich coagulates the surface of the varix.

views: 930 comments: 0

Gastric Adenocarcinoma With Varices - Endoscopy...

Gastroenterology Atlas

Several conditions may be precancerous and may increase the risk of stomach cancer. They include: Atrophic gastritis, chronic gastritis (inflammation of the stomach lining), and infection by a certain...

views: 926 comments: 0

Acute Variceal Bleeding - Retroflexed View...

Gastroenterology Atlas

The image and the video display gastric cardias in retroflexed maneuver, two varices has been ligated and they become to be necrotic.

views: 925 comments: 0