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Endoscopic Variceal Ligation - Status Post...

Gastroenterology Atlas

Risk factors for variceal bleeding. 1. Portal pressure HVPG >12 mm Hg 2. Varix size and location Large esophageal varices Isolated cluster of varices in fundus of stomach Variceal appearance on...

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Varices Of The Gastric Fundus

Gastroenterology Atlas

A 90 year-old female with fundus varices, recent bleeding activity is observed.

views: 995 comments: 0

Gastric Varices Rosettes Formation (14 of 22)
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Gastric Varices Rosettes Formation (14 of...

Gastroenterology Atlas

In the thorax x-ray the mixture of histoacryl with lipoidol is observed in the gastric bubble

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The own method of diathermic thermal ablation...

Roman Kuśnierczyk

 In the presented footage three basic techniques of percutaneous diathermic thermal ablation of insufficient perforating veins and truncal varicose veins are shown. The technique is a perfect supplement...

views: 983 comments: 1

Severe Variceal Bleeding - Source of Bleeding

Gastroenterology Atlas

Acute variceal bleeding is a life-threatening complication in patients with portal hypertension. Although overall survival may be improving, mortality is still closely related to failure to control...

views: 980 comments: 0

Gastro-Esophageal Varices - Insertion of...

Gastroenterology Atlas

Esophageal varices are dilated blood vessels within the wall of the esophagus. Patients with cirrhosis develop Portal Hypertension. When Portal Hypertension occurs, blood flow through the liver is...

views: 978 comments: 0

Large Gastric Varices (23 of 25)
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Large Gastric Varices (23 of 25)

Gastroenterology Atlas

Post Procedure Chest Radiograph. In the thorax x-ray the mixture of histoacril with lipoidol is observed in the gastric bubble. Obtaining of this form the obliteración of varice that cause the bleed.

views: 974 comments: 0

Banding of Esophageal Varices - View Through...

Gastroenterology Atlas

As seen through the banding apparatus attached to the tip of the endoscope. Ligation therapy has been used for years as the treatment of hemorrhoids, and the technique was modified for the treatment...

views: 973 comments: 0

Gastroesophagic Varices - 66 - Year - Old...

Gastroenterology Atlas

The patient was received from the other hospital with the Sengstaken-Blakemore tube. The image and the video clip show the status post use the Sengstaken-Blakemore tube, showing the aspect of the...

views: 972 comments: 0

Large Gastric Varices (22 of 25)
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Large Gastric Varices (22 of 25)

Gastroenterology Atlas

The injector should have a Luer-lock metal fitting because, as Histoacryl is caustic to plastic and may crack a plastic hub.

views: 971 comments: 0

Hemorrhage Due Status Post Rubber Band Ligation...

Gastroenterology Atlas

This image and the video show the third sclerotherapy applied on a large vein which presented with various red signs. Variceal appearance on endoscopy ("red signs") Red wale marks (longitudinal...

views: 969 comments: 0

Varices Of The Gastric Fundus - Endoscopy

Gastroenterology Atlas

Fundus varices are observed in the maneuver of retroflexion, and the signs of recent bleeding are also observed. Gastric varices usually accompany esophageal varices, although they may occur alone....

views: 966 comments: 0

Hemorrhage Due Status Post Rubber Band Ligation...

Gastroenterology Atlas

Endoscopy of Variceal Sclerotherapy Polydocanol 0.75% was used. Sclerotherapy injection of the bleeding area of the status post rubber band ligation.

views: 964 comments: 0

Large Gastric Varices (1 of 4)

Gastroenterology Atlas

This 72 year old female with a recurrent episode of bleeding from gastric varices. Seen on retroflexion are pendulous varices in the gastric cardia and fundus.

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Hemorrhage Due Status Post Rubber Band Ligation...

Gastroenterology Atlas

Status post Minnesota tube insertion. Necrosis and ulceration are appreciated. Retroflexed view of the cardias.

views: 956 comments: 0

Upper Gastrointestinal Hemorrhage - First...

Gastroenterology Atlas

Esophageal varices are dilated blood vessels within the wall of the esophagus. Patients with cirrhosis develop Portal Hypertension. When Portal Hypertension occurs, blood flow through the liver is...

views: 947 comments: 0

Gastric Varices (1 of 25)

Gastroenterology Atlas

This 56 year-old lady with Esophagus-Gastric Varices. Hemostatic methods that use standard therapy for esophageal varices have not been found effective for gastric varices.

views: 940 comments: 0

Banding of Esophageal Varices - Retroflexed...

Gastroenterology Atlas

This image shows status post variceal banding. The scope is retroflexed in the stomach to check for gastric varices, none are seen. The ulcer is seen at the gastric cardias. Because varices tend to...

views: 937 comments: 0

Gastric Varices (3 of 25)

Gastroenterology Atlas

Sarin’s classification of gastric varices Figure 1

views: 935 comments: 0

Endoscopic Variceal Ligation - 56 Years-Old...

Gastroenterology Atlas

This endoscopic sequence displays more videos and images of variceal banding some video clips and images are appreciated using a magnifying endoscope. A 56 year-old female, 3 weeks previously was...

views: 928 comments: 0

Gastroesophagic Varices - 66 - Year - Old...

Gastroenterology Atlas

This patient of 66 year-old male who has alcoholic hepatic cirrhosis had been hospitalized in a hospital of national insurance in San Salvador due to a massive bleeding of the upper digestive track...

views: 926 comments: 0

Gastric Varices Rosettes Formation (9 of...

Gastroenterology Atlas

Next step is that to inject a mixture of histoacryl with with lipiodol (0.8 mL in 0.5 mL) will be injected intra-variceal

views: 926 comments: 0

Hemorrhage Due Status Post Rubber Band Ligation...

Gastroenterology Atlas

Frontal view of the cardias. There are some ulceration at this level due to a Minnesota tube.

views: 925 comments: 0

Gastroesophagic Varices - 66 - Year - Old...

Gastroenterology Atlas

Through the cardia, one ulcerated gastric varix is observed, which was the exact site of the bleeding.

views: 923 comments: 0

Upper Gastrointestinal Tract - Bleeding...

Gastroenterology Atlas

Active pulsatile bleeding from a gastric fundic, varix was seen at endoscopy. Gastric Varices are much less common cause of variceal hemorrhage than esophageal ones; but are important to recognize...

views: 921 comments: 0

Banding of Esophageal Varices - Cardias...

Gastroenterology Atlas

Cardias in retroflexed view, there are many varices with the red sign, meaning that a possible bleeding was near. The combination of endoscopic therapy with medical therapy is the initial approach...

views: 920 comments: 0

Banding of Esophageal Varices - Necrosis...

Gastroenterology Atlas

Another image and video clip of the follow up endoscopy, some varices are seen with white color due to necrosis exerted by the bands.

views: 918 comments: 0

Hemorrhage After Ligation - Procedure of...

Gastroenterology Atlas

Banding of esophageal varices. The varix is aspirated into the banding chamber, and a trip wire dislodges a rubber band carried on the banding chamber, ligating the entrapped varix. One to three bands...

views: 917 comments: 0

Gastric Varices (4 of 25)

Gastroenterology Atlas

Sarin et al. defined four subtypes of gastric varices (Figure1) Gastro-Esophageal Varices (GOVs) are associated with esophageal varices along the lesser curve (type 1, GOV1), or along the fundus (type...

views: 917 comments: 0

Large Gastric Varices (2 of 4)

Gastroenterology Atlas

Ulcerated Gastric Varix. Primary gastric varices are said to be detected in 20% patients with portal hypertensions. The data suggests that gastric varices bleed less frequently (14%-16%) , but once...

views: 917 comments: 0

Long Standing Alcohol Abuse - Radial Endosonography,...

Gastroenterology Atlas

Radial Endosonography. The intraluminal varices are being compressed by the water-filled balloon, and are hardly visible on the endosonographic image. Varices are identified as multiple, well-circumscribed,...

views: 913 comments: 0

Gastric Varices - Endoscopic Ablation With...

Gastroenterology Atlas

The image and the video clips show the third shot of histoacryl. The dilution ratio increases if Lipiodol is used to flush the injector before injection. The rationale for diluting Histoacryl with...

views: 911 comments: 0

Upper Gastrointestinal Hemorrhage - Endoscopic...

Gastroenterology Atlas

Endoscopic Image of Esophageal Varices Sequences of images and videos of a case on esophageal varices. Esophageal varices the venous structures are tortuous in appearance. The best predictor...

views: 907 comments: 0

Gastric Varices Rosettes Formation (2 of...

Gastroenterology Atlas

Gastric Varices Rosettes formation The first upper endoscopy was practiced in an outpatient setting with signs of recent bleeding. Abundant bloody secretions were aspirated, and the patient was admitted...

views: 906 comments: 0

Acute Variceal Bleeding - Large Varices...

Gastroenterology Atlas

Larges varices are seen with the red sign. 1) Variceal bleeding is a complex medical emergency with a high mortality rate. 2) In managing this condition, special care must be exerted in maintaining...

views: 905 comments: 0

Banding of Esophageal Varices - Red Brillant...

Gastroenterology Atlas

Red brillant varices of the cardias are appreciated at the lower portion of the esophagus. The proceeded to do the banding of these varices. It is important to notice that if we do not proceed aggressively...

views: 904 comments: 0

Gastric Varices Rosettes Formation (18 of...

Gastroenterology Atlas

Retroflexed image observing the varix with its glue

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Severe Bleeding of the Upper Digestive System...

Gastroenterology Atlas

Another image and video clip, in hindsight, this varix was the cause of bleeding after the ligation with bands. Note redness and edema slight bleeding, and the strangulation of the varix was adequate.

views: 900 comments: 0

Gastric Varices - Endoscopic Ablation With...

Gastroenterology Atlas

Gastric varices (GV) occur in 20% of patients with portal hypertension. GV located in the fundus (FV) tend to cause serious bleeding and are reported to be less responsive to endoscopic treatment....

views: 900 comments: 0

Gastric Varices Rosettes Formation (8 of...

Gastroenterology Atlas

After to have washed and to have aspired abundant blood, the image was partially clarified and seen through the water and in a form of submarine swimming we managed to identify the varix and the probable...

views: 900 comments: 0

Endoscopic Variceal Ligation - Scars at...

Gastroenterology Atlas

The image displays several scar with fibrin at the cardias. The portal venous system, formed by the confluence of the superior mesenteric vein and the splenic vein ( drains the stomach, the large and...

views: 899 comments: 0

Banding of Esophageal Varices - Two Ligated...

Gastroenterology Atlas

Banding of esophageal varices. Two neighboring esophageal varices, which have been successfully banded. Note the improved view through the clear multi-banding apparatus. Note the raised mucosal bleb...

views: 895 comments: 0

Upper Gastrointestinal Bleeding - Washing...

Gastroenterology Atlas

To localize the exact site some vigorous washing with water is performed, the next video clips were taken with the double channel therapeutical endoscope that perform a better suction of the blood.

views: 892 comments: 0