Git Cases Dieulafoy.

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GIT Cases Dieulafoy.

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Git Cases Dieulafoy.

  1. 1. GIT endoscopic pictures : from my practice during the last week Prepared by: Dr.Mohammad Shaikhani.
  2. 2. Bleeding DU:adrenaline inj+APC
  3. 3. Bleeding DU:adrenaline inj+APC
  4. 4. UGIB:Deformed Duod balb: Fundal ulcer: GJ stomal ulcer : Fundal ulcer:
  5. 5. Bleeding Dieulafoy : APC
  6. 8. D ieulafoy’s lesion <ul><li>Accounts for 2% - 5% of all acute GI bleeding, but it can be the cause of recurrent &often potentially life-threatening hemorrhage. </li></ul><ul><li>Has a predilection for the proximal stomach. </li></ul><ul><li>It is increasingly apparent that these lesions, although usually gastric, may develop throughout the GI tract (esophagus 2%, jejunum 2%, colon 10%). </li></ul><ul><li>A variety of endoscopic modalities, including monopolar / bipolar electrocoagulation, heat probe coagulation, injection sclerotherapy, hemoclip placement, endoscopic band ligation, laser photocoagulation, have been used, either alone or in combination, with a success rates of 90%-95% &a rate of recurrent bleeding of 5%-10%. </li></ul><ul><li>Because of the small size of the lesion, the normal surrounding mucosa& the intermittent nature of the bleeding, endoscopic diagnosis is challenging & may require multiple and combined procedures. </li></ul>
  7. 13. Kissing Y-shaped DU:
  8. 14. Abd pain: prominent papilla & periampullary tumor:
  9. 15. R ectal annular mass:
  10. 16. Pyloroplasty: recurrent ulcers
  11. 17. Hip surgery: varices
  12. 18. D2 Malignant looking tumor:
  13. 19. Prepyloric ulcer:
  14. 20. Large chronic active tumor:
  15. 21. Taenia saginata moving segment in the sigmoid colon:
  16. 22. Fundal GIST: from Dave project

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