Duodenal Ulcer. El Salvador Atlas of Gastrointestinal VideoEndoscopy. A Large Database of Images and Video Clips with Cases Reported.
El Salvador Atlas of Gastrointestinal VideoEndoscopy

 
Multiple Duodenal Ulcers. A 59 year-old female, with portal hypertension, jaundice. and esophageal varices grade I-II. The images and videos display several duodenal ulcers and erosions with yellowish color due to jaundice.

Video Endoscopic Sequence 1 of 3.

Multiple Duodenal Ulcers.

 A 59 year-old female, with portal hypertension, jaundice.
 and esophageal varices grade I-II.
 The images and videos display several duodenal ulcers
 and erosions with yellowish color due to jaundice.
 
 For more endoscopic details download the video clips by
 clicking on the endoscopic images.
 All images displayed in this atlas contained video clip.     

Multiple Duodenal Ulcers. The ulcers are from the duodenal bulb to the third portion of the duodenum, Multiple; variable in size, shallow erosions some with black necrotic bases are observed.

Video Endoscopic Sequence 2 of 3.

Multiple Duodenal Ulcers.

 The ulcers are from the duodenal bulb to the third
 portion of the duodenum, Multiple; variable in size, shallow
 erosions some with black necrotic bases are observed.
   

Multiple Duodenal Ulcers. The papilla of Vater is observed ulcerated.

Video Endoscopic Sequence 3 of 3.

Multiple Duodenal Ulcers.

 The papilla of Vater is observed ulcerated. 
   

Duodenal ulcer, An 85 year-old male, with hepatic cirrhosis and varices of the esophagus. Enormous duodenal ulcers and erosions are seen. The patient suffered a gastrointestinal hemorrhage.

Video Endoscopic Secuence 1 of 3.

 An 85 year-old male, with hepatic cirrhosis and varices of
 the esophagus.
 Enormous duodenal ulcers and erosions are seen.
 The patient suffered a gastrointestinal hemorrhage.
 
Duodenal ulcer, Several duodenal ulcers are appreciated some with necrotic borders.

Video Endoscopic Secuence 2 of 3.

 Several duodenal ulcers are appreciated some with
 necrotic borders.
 

 
One and a half year after, an upper endoscopy was performed and some polypoid structures was found that belong to scar tissue due to the previous ulcers. Patient since the hemorrhage has been under lanzoprazol treatment 30 mg every day.

Video Endoscopic Sequence 3 of 3.

 One and a half year after, an upper endoscopy was
 performed and some polypoid structures was found that
 belong to scar tissue due to the previous ulcers.
 Patient since the hemorrhage has been under lanzoprazol
 treatment 30 mg every day.
Brunner's gland hyperplasia.

Video Endoscopic Sequence 1 of 3.

 Brunner's gland hyperplasia.

 
magnifyng endoscope. This image and the video clip are appreciated using a magnifyng endoscope.

Video Endoscopic Sequence 2 of 3.

 This image and the video clip are appreciated using a
 magnifyng endoscope.
Magnifyng Endoscope. This image and the video clip is appreciated using a magnifyng endoscope. Johann Conrad Brunner, 1653-1727, Swiss anatomist, hypertrophy of tubuloalveolar glands in the submucosal layer of the duodenum. They are most numerous in the duodenal bulb proximal to the pyloric canal and their number decreases gradually in the second and third part of the duodenum. They are not usually present in the jejunum or the ileum. It has been reported that their number increases in patients with cystic fibrosis, uraemia and Zollinger Ellison syndrome. Hyperplasia of Brunner's glands probably represents a response of the duodenal mucosa to peptic ulcer disease.

Video Endoscopic Sequence 3 of 3.

 This image and the video clip is appreciated using a
 magnifyng endoscope.
 Johann Conrad Brunner, 1653–1727, Swiss anatomist,
 hypertrophy of tubuloalveolar glands in the submucosal
 layer of the duodenum. They are most numerous in the
 duodenal bulb proximal to the pyloric canal and their
 number decreases gradually in the second and third part of
 the duodenum. They are not usually present in the jejunum
 or the ileum. It has been reported that their number
 increases in patients with cystic fibrosis, uraemia and
 Zollinger Ellison syndrome. Hyperplasia of Brunner’s
 glands probably represents a response of the duodenal
 mucosa to peptic ulcer disease.
Brunner's gland hyperplasia. This image and the video clip have been observed with a magnifying endoscope. Hyperplasia of Brunnerīs glands with sign of micro hemorrhage.

Video Endoscopic Sequence 1 of 5.

Brunner's gland hyperplasia.

 This image and the video clip have been observed with
 a magnifying endoscope.
 Hyperplasia of Brunnerīs glands with sign of micro
 hemorrhage.


 
Brunner's gland hyperplasia. Nodular duodenum, frequently described as nodular duodenitis, is endoscopically characterized by multiple erythematous nodules in the proximal duodenum and may represent a variant of duodenal inflammation.

Video Endoscopic Sequence 2 of 5.

 Nodular duodenum, frequently described as nodular
 duodenitis, is endoscopically characterized by multiple
 erythematous nodules in the proximal duodenum and may
 represent a variant of duodenal inflammation.
High magnification with Chromoendoscopy. Using methylene blue stain.

Video Endoscopic Sequence 3 of 5.

 High magnification with Chromoendoscopy.
 Using methylene blue stain.
High magnification with Chromoendoscopy. Using methylene blue stain.

Video Endoscopic Sequence 4 of 5.

 For more endoscopic features download the video clip
 by clicking on the image.
High magnification with Chromoendoscopy. Using methylene blue stain.

Video Endoscopic Sequence 5 of 5.

 For more endoscopic features download the video clip
 by clicking on the image.