Git Cases Dieulafoy.
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Git Cases Dieulafoy.

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GIT Cases Dieulafoy.

GIT Cases Dieulafoy.

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Git Cases Dieulafoy. Git Cases Dieulafoy. Presentation Transcript

  • GIT endoscopic pictures : from my practice during the last week Prepared by: Dr.Mohammad Shaikhani.
  • Bleeding DU:adrenaline inj+APC
  • Bleeding DU:adrenaline inj+APC
  • UGIB:Deformed Duod balb: Fundal ulcer: GJ stomal ulcer : Fundal ulcer:
  • Bleeding Dieulafoy : APC
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  • D ieulafoy’s lesion
    • Accounts for 2% - 5% of all acute GI bleeding, but it can be the cause of recurrent &often potentially life-threatening hemorrhage.
    • Has a predilection for the proximal stomach.
    • It is increasingly apparent that these lesions, although usually gastric, may develop throughout the GI tract (esophagus 2%, jejunum 2%, colon 10%).
    • 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%.
    • 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.
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  • Kissing Y-shaped DU:
  • Abd pain: prominent papilla & periampullary tumor:
  • R ectal annular mass:
  • Pyloroplasty: recurrent ulcers
  • Hip surgery: varices
  • D2 Malignant looking tumor:
  • Prepyloric ulcer:
  • Large chronic active tumor:
  • Taenia saginata moving segment in the sigmoid colon:
  • Fundal GIST: from Dave project