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|05-23-2008, 06:27 PM||post no: 1|
gastric ulcer endoscope video
Video Endoscopic Sequence 1 of 10.
Case of Multiple Ulcers.
A 76 year-old, female, presented with a three day history of melena without any abdominal pain. She had one episodeof hematemesis (about 100 ml blood) in the emergency room, patient has a strong alcoholic drink abuse.All endoscopic images shown in this Atlas contain
An upper endoscopy with magnification was performed.
multiple ulcers was detected across of the gastric camera,
esophageal varices was also detected.
or more endoscopic details, download the video clip by clicking on the endoscopic image. Wait to be downloaded complete then press Alt and Enter for full screen for windows media andReal player
video clips. We recommend seeing the video clips in full
Video Endoscopic Sequence 2 of 10.
The image displays a high magnification endoscopy
displaying one of the ulcers.
Video Endoscopic Sequence 3 of 10.
The image and the video clip display several ulcers
across of the entire stomach.
Video Endoscopic Sequence 4 of 10.
Retroflexed image shows multiple ulcers.
Video Endoscopic Sequence 5 of 10.
A panoramic view of the gastric body, retroflexed image.
Video Endoscopic Sequence 6 of 10.
Chromoendoscopy using indigo carmine.
Video Endoscopic Sequence 7 of 10.
A close up of generative epithelium at the border of the
ulcer, magnifying image.
Video Endoscopic Sequence 8 of 10.
More images and video clips of multiple ulcers with indigo
Video Endoscopic Sequence 9 of 10.
Chromoendoscopy using lugol´s solution.
Video Endoscopic Sequence 10 of 10.
In addition of multiple ulcers, patient shows esophageal
Video Endoscopic Sequence 1 of 9.
Pre-Pyloric ulcer surrounding with regenerative epithelium.
Video Endoscopic Sequence 2 of 9.More evident the regenerative epithelium is observed,
surrounding the ulcer using a magnifying endoscope.
Recently, magnifying endoscope has been used clinically
for its developments in amplifying power, definition and
Magnifying endoscopy is helpful for more correctly
distinguishing hyperplastic lesions from adenomatous and
cancerous lesions, and for improving detection of early flat
and depressed cancer.
Video Endoscopic Sequence 3 of 9.
A magnifying close up.Magnifying endoscopy may have an obvious value in
diagnosing chronic atrophic gastritis, intestinal metaplasia
and H pylori infection.
Video Endoscopic Sequence 4 of 9.
Magnification chromoendoscopy dye-methylene blue.
The new detailed images seen with magnifying
chromoendoscopy are un@_@@_@@_@@_@@_@ocally the beginning of a new
era where new optical developments will allow a unique
look on cellular structures.
Video Endoscopic Sequence 5 of 9.High-resolution chromoendoscopy.
Chromoendoscopy, the intravital staining of gastrointestinal
epithelia, provides additional diagnostic information with
respect to the epithelial morphology and pathophysiology.
Based on experience gathered, chromoendoscopy is now in
more widespread use, in particular to identify preneoplastic
and neoplastic lesions.
Video Endoscopic Sequence 6 of 9.Another image and video clip, Chromoendoscopy with
methylene blue. Tissue staining during endoscopy
(chromoendoscopy) is a technique used to study the fine
details of the mucosa throughout the gastrointestinal tract.
Chromoendoscopy combines high resolution endoscopy with
various methods of vital staining of epithelial structures. In
these methods, during endoscopy, tissues are coloured by a
stain introduced through a spray catheter. The staining
techniques are technically simple, economical and easy to
Various stains produce different optical effects. Contrast
staining with indigo carmine fills folds, villi and other
uneven areas and hence emphasises the structure. A
different image is obtained by using absorptive stains such
as methylene blue or Lugols solution which are directly
taken up by the cells, thus staining them.
An even more differentiated investigation is possible using
zoom or magnification endoscopy. This uses special
endoscopes capable of enlarging the endoscopic images up
to 150 times. It does not take much imagination to predict a
dynamic development of chromo- and zoom endoscopy.
Video Endoscopic Sequence 7 of 9.
For more endoscopic features download the video clip.
Video Endoscopic Sequence 8 of 9.
Multiple erosions are observed
Video Endoscopic Sequence 9 of 9.
Dye-Scattered picture (Methylene blue) multiple erosions
Video Endoscopic Sequence 1 of 5.
Giant Gastric Ulcer.91 year old female presented epigastric pain, nauseas and
vomiting for 3 months.
The biopsies were benign.
Video Endoscopic Sequence 2 of 5.
Video Endoscopic Sequence 3 of 5.
Posterior wall of the gastric corpus.
Video Endoscopic Sequence 4 of 5.
Adenomatous polyp near of the giant ulcer.
See the video sequence of this polyps after six week of
treatment, of that ulcer is appreciated with magnifying
endoscopy with chromoscopy.
Video Endoscopic Sequence 5 of 5.
A follow up endoscopy was performed after six week of
treatment a scar was found.[/align]
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