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Ligation of Esophageal Varices - Attempt...

Gastroenterology Atlas

Important advances have been made in the management of variceal bleeding. Despite these advances, bleeding in the patient with cirrhosis remains one of the most demanding clinical challenges that a gastroenterologist...

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Ligation of Esophageal Varices - Application...

Gastroenterology Atlas

Hemostasis achieved in bleeding varix by the endoscopic application of rubber bands onto the bleeding site two bands were deployed.

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Upper GI Bleeding Due to Esophageal Varices...

Gastroenterology Atlas

The gastric cardias at the retroflexed, observing the varix with beginnings of necrosis.

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Gastric Varices (18 of 25)

Gastroenterology Atlas

The site of the last bleeding, besides of using glue and argon plasma, the hemostasis is reinforced with rubber bands. Endoscopic injection with tissue adhesives such as histoacryl can effectively...

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Hemorrhage Due Status Post Rubber Band Ligation...

Gastroenterology Atlas

Endoscopy Appearance of Variceal Sclerotherapy 12 days after the first sclerotherapy, we performed a second elective session of variceal injection. The sequences of images and videos display this...

views: 981 comments: 0

Esophageal Varices - Endoscopic Image -...

Gastroenterology Atlas

Hematocystic spots are seen that are stigmata of recent hemorrhage. A 61 year-old woman that was under hepatic transplant program in a United States Hospital. She returned to her country El Salvador,...

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Long Standing Alcohol Abuse - Follow Up...

Gastroenterology Atlas

One month after the previous images. Six varices were ligated in this session of therapy.

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Upper Gastrointestinal Bleeding - Argon...

Gastroenterology Atlas

Efficacy of argon plasma coagulation in variceal bleeding.

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Gastric Varices (7 of 25)

Gastroenterology Atlas

Identifying the Source of Bleeding Irrigation and suction are helpful in removing old blood and blood clots from the stomach, it is not unusual to have residual clots obscuring the endoscopic view...

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Banding of Esophageal Varices - Presence...

Gastroenterology Atlas

Another post ligation ulcer is observed retroflexed image. See the video clip.

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Hemorrhage Due Status Post Rubber Band Ligation...

Gastroenterology Atlas

The image and video display the retraction caused by the injector as well as a slight hemorrhage which originates in the variceal wall.

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Gastric Varices - Endoscopic Ablation With...

Gastroenterology Atlas

Complete obliteration status Gastric variceal obliteration was achieved

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Hemorrhage Due Status Post Rubber Band Ligation...

Gastroenterology Atlas

Sequences of images and videos of a case on hemorrhage due status post rubber band ligation of esophageal varices. A 77 year-old female, one month previously she started with her first hematemesis,...

views: 974 comments: 0

Long Standing Alcohol Abuse - Presence of...

Gastroenterology Atlas

The portal vein carries approximately 1500 mL/min of blood from the small and large bowel, the spleen, and the stomach to the liver. Obstruction of portal venous flow, whatever the etiology, results...

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Upper GI bleeding due to Esophageal Varices...

Gastroenterology Atlas

Endoscopic ligation of esophageal varices requires placement of an opaque cylinder over the end of the endoscope. The exact site of the hemorrhage is ligated

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Severe Bleeding of the Upper Digestive System...

Gastroenterology Atlas

Carefully argon plasma was used to perform hemostasis

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Acute Variceal Bleeding - Two Necrotic Banded...

Gastroenterology Atlas

The two banding of the fundus are observed as necrotic that are less than 24 hours.

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Gastric Varices (15 of 25)

Gastroenterology Atlas

After have applied histoacryl had been a slight bleeding which was handling with argon plasma.

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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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Ligation of Esophageal Varices - Jet of...

Gastroenterology Atlas

Jet of blood from an esophageal varix After several attempts to suck, bleeding is activated but we continued trying to suck until finally sufficient tissue of varix is sucked and two bands go off.

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Long Standing Alcohol Abuse - View Through...

Gastroenterology Atlas

Fitted with a suction cap adapter and passed back down to the level of the GE junction. The varix with the red spot at the GE junction is identified, then gently sucked up into the cap and the band...

views: 965 comments: 0

Acute Variceal Bleeding - Ligation of Eight...

Gastroenterology Atlas

The next day, an endoscopic evaluation was performed 8 varices were ligated. Bleeding from esophageal varices is the most serious and potentially fatal complication of portal hypertension. The rise...

views: 964 comments: 0

Acute Variceal Bleeding - Repeat Banding

Gastroenterology Atlas

This Process is continued until all the bands are deployed. Repeat banding is performed.

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Variceal Hemorrhage - 74 Years-Old Female

Gastroenterology Atlas

A 74 year-old female. Two months previously had her first episode of bledding due to esophageal varices, at that time six varices were ligated, the patient did not returned to her appoinment for a...

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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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Endoscopic Variceal Ligation - Ulceration...

Gastroenterology Atlas

One ulceration post varix ligation is appreciated.

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Gastric Varices - Endoscopic Ablation With...

Gastroenterology Atlas

Follow up Endoscopy After two year and a half it is observed complete obliteration of the varix.

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Long Standing Alcohol Abuse - Radial Endosonography,...

Gastroenterology Atlas

Radial Endosonography. Endoluminal US demonstrated the varices as anechoic areas with communications in the submucosal, periesophageal, and perigastric regions.

views: 954 comments: 0

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...

views: 952 comments: 0

Alcoholic Cirrhosis - Rebleeding form Esophageal...

Gastroenterology Atlas

After one week of the latest session of banding, patient presented with an upper bleeding that was due to the site of a varix that was falled off.

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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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Acute Variceal Bleeding - Assessment of...

Gastroenterology Atlas

Gastric cardias is observed (retroflexed image)

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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 - Fallen...

Gastroenterology Atlas

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

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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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Upper Gastrointestinal Hemorrhage - Large...

Gastroenterology Atlas

Large tortuous varices with red color sign. Cherry red spots are signs of imminent hemorrhage. Classification of gastroesophageal varices. Esophageal.

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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.

views: 942 comments: 0

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.

views: 940 comments: 0

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...

views: 940 comments: 0

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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Gastric Adenocarcinoma With Varices - Endoscopy...

Gastroenterology Atlas

This image display the neoplasia in frontal view.

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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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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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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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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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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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Gastric Adenocarcinoma With Varices - Endoscopy...

Gastroenterology Atlas

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

views: 926 comments: 0

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...

views: 926 comments: 0