Esophagus Stomach Duodenum Capsule Endoscopy Inflammatory Bowel Disease Colon & Ileum Miscellaneous

Bleeding Duodenal Varices

58 year-old man with a history of alcoholism and physical findings suggestive of cirrhosis, presented with gastrointestinal bleeding in the form of passing port-wine colored stools. Nasogastric aspirate was not grossly bloody; nonetheless, endoscopy was performed on the basis of clinical suspicion. The esophagus, stomach and duodenum appeared normal. In the postbulbar duodenum there were serpiginous varices with a focus of intermittent bleeding.

Close-up of varix and bleeding site, here seen between bleeding episodes.

A single rubber band was applied to the site, with complete cessation of bleeding. The black rubber band is seen encircling the portion of the varix which contained the bleeding site, which is now entrapped within the band. This photograph was taken with the banding apparatus still attached to the endoscope; note the degree to which the attachment narrows the field of view.

Home ASG Info Atlas Index Notable Websites After Hours

Endoscopic images Copyright © Atlanta South Gastroenterology, P.C. All rights reserved.
Logo is Registered Trademark ® of Atlanta South Gastroenterology, P.C.

This site is presented for educational and general informational purposes only. It does not purport to offer medical advice for any specific medical condition or individual patient. We regret that we cannot provide individualized medical advice online, either via this web site or via email. Please refer to our "Notable Web Sites" section, which offers links to several excellent online sources of additional medical information.