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

Dieulafoy’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.

Kissing Y-shaped DU:

Abd pain: prominent papilla & periampullary tumor:

Rectal 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