Bleeding

Monday 21 July 2008, Branislav Kunčak, M. D.

Bleeding duodenal ulcers. Hemostasis techniques.

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Video 1

Clean base ulcer of the duodenal bulb (III acc. to Forrest classification).

Download the movie in the original format: Forrest III.mpg (3.21 MB)

Bigger image Endoscopy

Fig. 1

Duodenal bulb ulcer with flat pigmented spots (IIC acc. to Forrest classification).

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Video 2

Duodenal ulcer with adherent clot (IIB acc. to Forrest classification). The ulcer base is irrigated with saline.

Download the movie in the original format: duodenal ulcer with adherent clot.mpg (5.10 MB)

Bigger image Endoscopy

Fig. 2

Duodenal bulb ulcer with fresh clot.

Bigger image Endoscopy

Fig. 3

After irrigation visible vessel at the ulcer base was seen (IIA acc. to Forrest classification).

Bigger image Endoscopy

Fig. 4

The ulcer after diluted epinephrine injection.

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Video 3

Oozing bleeding from duodenal ulcer (I B acc. to Forrest classification). Hemostasis by injection of diluted epinephrine.

Download the movie in the original format: oozing bleeding duodenal ulcer.mpg (18.11 MB)

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Video 4

Duodenal ulcer with spurting bleeding (IA acc. to Forrest classification). The patient was reffered for surgery.

Download the movie in the original format: duodenal ulcer with arterial bleeding.mpg (2.52 MB)

Keywords: duodenal ulcer, bleeding, hemostasis, Forrest classification