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Acute Variceal Bleeding - Red Sign Symptom

Gastroenterology Atlas

The varix with the red spot at the GE junction is identifed, then gently sucked up into the cap and the band deployed around the varix. Banding ligation was first reported in humans in 1989 and represents...

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Gastric Varices Rosettes Formation (15 of 22)
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Gastric Varices Rosettes Formation (15 of...

Gastroenterology Atlas

Another image of the glue, the lipoidol makes radio-opaque

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Acute Variceal Bleeding - Blood Emerging...

Gastroenterology Atlas

The endoscopic tip is at the cardias, active variceal bleeding emerged into the banding apparatus. Alcoholism is the most common cause of portal hypertension, but hepatitis B and hepatitis C are...

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Endoscopic Variceal Ligation - Status Post...

Gastroenterology Atlas

It is essential to identify and treat those patients at highest risk because each episode of variceal hemorrhage carries a 20% to 30% risk of death, and up to 70% of patients who do not receive treatment...

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Esophagel Varices and Status Post Total...

Gastroenterology Atlas

This 63 year-old male underwent a total gastrectomy due to a gastric cancer

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Acute Variceal Bleeding - Necrotic Area

Gastroenterology Atlas

Status Post Banding. At the cardias is seen with necrotic area where the varix was strangulated and another erosionated varix is observed.

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Severe Bleeding of the Upper Digestive System...

Gastroenterology Atlas

Two days after the therapeutic treatment with bands, he started with severe bleeding in the upper digestive system which is expressed with hematemesis and melena.

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Gastric Adenocarcinoma - Endoscopy (7 of...

Gastroenterology Atlas

More images and video clips of this case of adenocarcinoma with gastric varices.

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Upper Gastrointestinal Tract - Bleeding...

Gastroenterology Atlas

Status post APC application seen with magnifying endoscope. Endoscopic ultrasonography is useful in the prediction of recurrence of varices and facilitates visualization and guidance of further treatment...

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Acute Variceal Bleeding - Status Post Banding

Gastroenterology Atlas

Status Post Banding. The next day an upper endoscopy was performed, the varix of the cardias was fall of with necrotic area and no active bleeding was found. The rubber bands slough off in the following...

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Banding of Esophageal Varices - Cardias...

Gastroenterology Atlas

Gastric Cardias, retroflexed image, a necrotic ulceration of the varix is observed.

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Acute Variceal Bleeding - Retroflexed View of Gastric Cardias in Assessment of Ligation
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Acute Variceal Bleeding - Retroflexed View...

Gastroenterology Atlas

Retroflexed image of the cardias and esophagus the status post banding is observed.

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Acute Variceal Bleeding - Ligation

Gastroenterology Atlas

Endoscopic variceal ligation (banding) Endoscopic variceal ligation is based on the widely used technique of rubber-band ligation of hemorrhoids. The esophageal mucosa and the submucosa containing...

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Gastric Varices - Endoscopic Ablation With...

Gastroenterology Atlas

Massive transfusions by nature lead to hemodilution, acidosis, hypothermia and ultimately coagulopathy. To minimize these complications it is recommended to replace plasma constituents and platelets...

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Long Standing Alcohol Abuse - Status Post...

Gastroenterology Atlas

More images and video clip of post banding status.

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Severe Bleeding of the Upper Digestive System...

Gastroenterology Atlas

To stop the bleeding after argon plasma is used sclerotherapy is carry out

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Banding of Esophageal Varices - Five Days...

Gastroenterology Atlas

Follow up, 5 days after the banding. An endoscopy was performed to follow up the banding treatment; the four varices were with necrotic appearance. similar of the treatment for hemorrhoids with banding

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Hemorrhage Due Status Post Rubber Band Ligation...

Gastroenterology Atlas

In sequence to the images presented above, you can see hemorrhage and blood clots, consequence of the last injection. The endoscopist needs to develop a certain degree of self-confidence.

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Gastric Varices (8 of 25)

Gastroenterology Atlas

Multiple large gastric varices can be seen in the gastric cardia and fundus. The treatment chosen for this patient was intravariceal injection with cyanoacrylate. After volume resuscitation and blood...

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Gastroesophagic Varices (2 of 7)

Gastroenterology Atlas

Ulcerated Gastric Varix An ulcer with a large visible vassel is seen, retroflexed image.

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Variceal Hemorrhage - Status Post Banding

Gastroenterology Atlas

The varix was successfully ligated. Endoscopic variceal ligation is associated with lower rebleeding rates and a lower frequency of esophageal strictures. Fewer sessions are required to achieve variceal...

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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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Ligation of Esophageal Varices - 33 Years-Old...

Gastroenterology Atlas

Fibrosis due to a Status post banding and variceal hemorrhage due to a varix of the esophagus This 33 year-old male withAlcoholic Cirrhosis since two years previously underwent rubber bands due to...

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Hemorrhage After Ligation - APC Coagulation,...

Gastroenterology Atlas

Endoscopic ligation of esophageal varices combined with APC is superior to ligation alone. Since APC is theoretically well suited for mucosal fibrosis therapy, it can be used for the complete elimination...

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Hemorrhage Due Status Post Rubber Band Ligation...

Gastroenterology Atlas

Sclerotherapy Versus Banding for Variceal Bleeding. Endoscopic sclerotherapy also reduces the rate of rebleeding, although overall mortality is not affected. The main disadvantage of endoscopic sclerotherapy...

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Hemorrhage Due Status Post Rubber Band Ligation...

Gastroenterology Atlas

The bleeding has been stopped, tree varix were ligated. Patient was discharged from the hospital with an appointment to eradicate the varices with the same method.

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Esophageal Varix - Bleeding - Two Teleangiectasias

Gastroenterology Atlas

Two angiectasias were found at the gastric body.

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Esophageal Variceal Bleeding - Varices in...

Gastroenterology Atlas

Within the gastroesophageal junction are seen several varices with the red sign.

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Upper Gastrointestinal Bleeding - Status...

Gastroenterology Atlas

This image shows the status post coagulation of the varix. The hemorrhage has been stopped.

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Severe Bleeding of the Upper Digestive System...

Gastroenterology Atlas

This 57 year-old male with chronic alcoholism and cirrhosis of the liver with esophageal varices, had been previously hospitalized in two occasions due to a severe upper gastrointestinal bleeding....

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Severe Bleeding of the Upper Digestive System...

Gastroenterology Atlas

This video clip shows that the argon plasma is used too close sticking the tissue and removing it. Causing a severe bleeding. A bleeding hole is observed. At this moment, we were analyzing if it had...

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Endoscopic Variceal Ligation - Scars and...

Gastroenterology Atlas

The video clip displays some varices that have been ligated as well as several scars with fibrin. (Post ligated status)

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Endoscopic Variceal Ligation - Closer Look...

Gastroenterology Atlas

Another varix appreciated with a magnifying endoscope.

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Banding of Esophageal Varices - Follow Up

Gastroenterology Atlas

A follow-up 8 days later. The varices shown signs of necrosis.

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Gastric Adenocarcinoma With Varices - Endoscopy...

Gastroenterology Atlas

A 95 year-old male was hospitalized because of pallor and melena with 8.0 mg/dl. of Hb.

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Upper Gastrointestinal Tract - Bleeding...

Gastroenterology Atlas

Hemostasis was achieved using argon plasma coagulator APC. Bleeding from gastric varices is often a serious medical emergency. Although the incidence of bleeding from gastric varices is relatively...

views: 949 comments: 0

Gastric Varices (11 of 25)

Gastroenterology Atlas

Intravariceal injection Histoacryl with with Lipiodol After the injection of the mixture, the syringe got stuck completely to the Luer Lock injector with the security knob. That is why the procedure...

views: 948 comments: 0

Gastric Varices (19 of 25)

Gastroenterology Atlas

Bleed has stopped completely. Management for gastric varices usually include vasoactive agents, endoscopic therapy and surgery. Rupture of gastric fundal varices is often lethal because of massive...

views: 947 comments: 0

Acute Variceal Bleeding - Follow Up and...

Gastroenterology Atlas

The next day, 8 varices were banding, the image and the video display a esophageal varix that has been ligated. Patients who have had one variceal bleed are at high risk of rebleeding. Since its introduction,...

views: 945 comments: 0

Gastric Varices (9 of 25)

Gastroenterology Atlas

In this video clips shows the exact site of the bleeding Due to the rubbing of the injector with the surface of the varix, initiates the exact site of bleed varix was then noted to bleed actively....

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Acute Variceal Bleeding - Source of Bleeding,...

Gastroenterology Atlas

About 30% of patients with cirrhosis and portal hypertension bleed from ruptured esophageal varices. with a mortality for the initial bleed that may exceed 50% After a first bleed, untreated patients...

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Upper Gastrointestinal Hemorrhage - Small...

Gastroenterology Atlas

Small Varices of the epiglottis. Same patient as described above.

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Long Standing Alcohol Abuse - Follow Up...

Gastroenterology Atlas

A follow up Endoscopy after one month. Status post banding Multiple scars are seen. Banding ligation sessions are repeated at 7- to 14-day intervals until obliteration of varices is achieved. Eradication...

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Acute Variceal Bleeding - Ligated Varix

Gastroenterology Atlas

The image as wellas the video clip displays the cardias with varix ligated. Variceal banding or sclerotherapy. Endoscopic therapy, particularly variceal banding (also called ligation), may be used...

views: 937 comments: 0

Multiple Gastric Ulcers - Endoscopy (10...

Gastroenterology Atlas

In addition of multiple ulcers, patient shows esophageal varices.

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Upper GI Bleeding Due to Esophageal Varices...

Gastroenterology Atlas

This 42 year-old male, was admitted for massive hematemesis resulted in hypotension, history of alcoholic abuse, after promptly resuscitate and restore circulating blood volume of patient an emergency...

views: 936 comments: 0


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