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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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Long Standing Alcohol Abuse - Scars

Gastroenterology Atlas

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

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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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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.

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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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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 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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Gastric Adenocarcinoma With Varices - Endoscopy...

Gastroenterology Atlas

Some isolated gastric varices were found at the fundus.

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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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Banding of Esophageal Varices - Exudative...

Gastroenterology Atlas

The image and the video show multiple oozing ulcer.

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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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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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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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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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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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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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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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Gastric Adenocarcinoma With Varices - Endoscopy...

Gastroenterology Atlas

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

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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...

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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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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...

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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: 955 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.

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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.

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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 - 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.

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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.

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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: 944 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...

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Acute Variceal Bleeding - Necrotic Varices...

Gastroenterology Atlas

More images and video clips of this endoscopic sequence

views: 934 comments: 0

Gastric Varices (20 of 25)

Gastroenterology Atlas

Hemostasis was achieved Hematemesis, melena, and hematochezia are symptoms of acute gastrointestinal bleeding. Bleeding that brings the patient to the physician is a potential emergency and must...

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Acute Variceal Bleeding - Suction of Varix

Gastroenterology Atlas

The varix is suctioned into the banding apparatus.

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Banding of Esophageal Varices - Ulceration...

Gastroenterology Atlas

Retroflexed image, an ulceration is observed where the band was come off, attach to the endoscope a fibrin fragment is observed which recently has been fallen from this ulceration.

views: 918 comments: 0

Severe Bleeding of the Upper Digestive System...

Gastroenterology Atlas

In this first session six varices were ligated.

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Severe Bleeding of the Upper Digestive System...

Gastroenterology Atlas

To perform hemostasis using argon plasma coagulator which must be worn without making contact

views: 907 comments: 0

Gastric Varices (16 of 25)

Gastroenterology Atlas

The catheter of argon plasma is being coagulated the site of this bleed.

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Banding of Esophageal Varices - Two Necrotic...

Gastroenterology Atlas

Two necrotic varices are seen at the cardias.

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Acute Variceal Bleeding - Status Post Final...

Gastroenterology Atlas

Almost all varices of the cardias have been ligated and are in necrotic stage. The risk of re-bleeding has been diminished.

views: 903 comments: 0

Hemorrhage Due Status Post Rubber Band Ligation...

Gastroenterology Atlas

This post-procedure control image shows no active bleeding. After a period of observation the procedure was considered complete. The patient was discharged from the hospital the next day. The image...

views: 898 comments: 0

Severe Bleeding of the Upper Digestive System...

Gastroenterology Atlas

This endoscopy shows suctioning and washing the bleeding

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Hemorrhage Due Status Post Rubber Band Ligation...

Gastroenterology Atlas

Two years later the patient re-bleeds, She had not taken a suitable medical control, the cirrhosis has progressed, now with ascitis. The hemoglobin was 6.0 gr/dl.

views: 844 comments: 0

Lower Esophageal (Schatzki) Ring with esophageal...

Gastroenterology Atlas

The image and the video display a retroflexed maneuver the Schatzki ring is appreciated with some varices. An endoscopist must be sure to diagnose a hiatal hernia in the absence of vomiting and coughs,...

views: 833 comments: 0

Esophageal Varices and Hiatus Hernia (2...

Gastroenterology Atlas

Hiatal hernias are relatively common and, in themselves, do not cause symptoms. For this reason, most people with hiatal hernias are asymptomatic. Hiatal hernias may predispose to reflux or worsen...

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Esophageal Varices and Hiatus Hernia (1...

Gastroenterology Atlas

This 93 year-old male in a routine endoscopy was found that have both clinical entities.

views: 804 comments: 0