Video Endoscopic Sequence 1 of 2.

Adenocarcinoma that infiltrates the Cardias and the Fundus.

This lady of 87 year-old, presented with anorexia and anemia.

 For further endoscopic information, download the video clip
 by clicking on the endoscopic image. Wait to be
 downloaded complete then Press Alt and Enter for full
 screen (Windows Media), Real Player: Ctrl and 3.
 
 All endoscopic images shown in this Atlas contain
 video clips. We recommend seeing the video clips in full
 screen mode. 

Video Endoscopic Sequence 2 of 2.

 These image shows a ulcerated malignant tumor in the gastric fundus, retroflexed image.

Video Endoscopic Sequence 1 of 3.

Gastric Adenocarcinoma of the antrum that infiltrates the lesser curvature until near the fundus.

This 47 year-old male, presented with weight loss of 40 pounds.

Video Endoscopic Sequence 2 of 3.

The images and video clips show a large ulcerated tumor.

Video Endoscopic Sequence 3 of 3.

More images and video clips.

Adenocarcinoma of the fornix.

 A 64 year-old male with adenocarcinoma of the fundus.
 
 

 Gastric AdenoCarcinoma that has been manifested with
 hiccups.

 This 77 year old man with persistent hiccups.
 An infiltrating and ulcerated carcinoma of the body that
 invades the cardias is observed.
 
 There is a malignant gastric tubular adenocarcinoma.
 
 

Video Endoscopic Sequence 1 of 2.

Bilateral Krukenberg´s Tumor

 A 47 year--old, female nurse, with extensive infiltration of
 gastric adenocarcinoma, she had bilateral Krukenberg´s
 Tumor.

 For more details of this case see ovaries specimen and
 macroscopic appearance of her stomach click here.
 

Video Endoscopic Sequence 2 of 2.

 The adenocarcinoma is seen in retroflexed maneuver.
 She had been suffering of many  inspecific symptoms, for a
 long period of time, such as abdominal pain and weight
 loss.
 At the time that she asked for help in our clinic, she had
 already many different medical procedures, such as an
 upper endoscopy and colonoscopy that were negatives,
 4 moths before.
 The upper endoscopy practiced before was reported as an
 erosive gastritis and biopsies only confirmed gastritis.
 That endoscopy was practiced elsewhere.

 To see ovaries specimen and macroscopic appearance of
 her stomach click here.
 

 Gastric Adenocarcinoma of the cardias.

 A 74 year-old female, with dysphagia to solid food and
 weight loss of 60 pounds. Gastric adenocarcinoma that
 protrude into the esophagus. More details Download the
 video clip.
   
    

 Gastric Adenocarcinoma that has been extended upwards
 into to the middle portion of the esophagus.

 An 85 year-old male with progressive dysphagia and
 weight loss.

 The endoscopic procedure revealed a gastric carcinoma
 with an unusual presentation, showing itself as a large mass
 of the fundus which extended upwards into to the middle
 portion of the esophagus.
                                           Medline.

Cauliflower-like Infiltrating Gastric Carcinoma.

 A 94 year-old female with long history of epigastric
 pain, nausea, vomiting, sialorrea and weight loss.
       

                                          Medline.
    

Advanced Gastric Carcinoma of the body.

 A 54 year-old male who had been on treatment for a
 supposed gastritis by a general practitioner for more than
 a year. Patient did not reported weight loss.
 The Gastrointestinal Video Endoscopy reveled advanced
 Gastric Carcinoma of the body.
 
 

    
 Gastric Carcinoma which exhibits a mass effect and
 displays multiple ulcers.

Ulcerated Gastric Carcinoma of the body.

 Gastrointestinal cancer is a major medical and economic
 burden worldwide. Oesophageal and gastric cancers are
 most common in the non-industrialized countries, while
 colorectal cancer is the predominant gastrointestinal
 malignancy in westernized countries. Their aetiology is
 mainly related to correctable and preventable lifestyle
 habits; namely diet (including obesity), physical activity,
 alcohol and tobacco intake, and sanitation. Prevention
 and/or treatment of Helicobacter pylori infection would
 significantly reduce the prevalence of gastric cancer.
 Screening for cancer, its early detection and treatment
 requires medical facilities, endoscopic expertise and a
 major investment of national financial resources. This is
 only feasible in affluent industrialized countries such as
 Japan for gastric cancer, some western countries for
 esophageal and colorectal cancer. Only population
 screening for colorectal cancer has been proven feasible
 and cost-beneficial.

 Large Gastric Adenocarcinoma of the body with central
 

Ulcerated Adenocarcinoma of the Body.

 Gastric Adenocarcinoma presented as two ulcers at the
 antrum and angle.

Video Endoscopic Sequence 1 of 2.

 Adenocarcinoma of the cardias extending into the
 esophagus.

Video Endoscopic Sequence 2 of 2.

Fundus Adenocarcinoma.

 The endoscope is retroflexed, You can see a gastric
 neoplasia that infiltrated the gastric cardias and the fornix.
   

Advanced Gastric Cancer.

 A large ulcerated mass is seen.
 

Infiltrating Adenocarcinoma.

 Advanced adenocarcinoma of the corpus and fundus.
 

Ulcerated Adenocarcinoma of the body.

 Adenocarcinoma of the Gastric Antrum.

 A 45 year-old female with carcinoma of the antrum and with
 obstructive signs. Nevertheless, the endoscopic diagnosis
 was delayed, because the patient had multiple anti ulcer
 treatment for over six months, having seen different
 physicians and receiving diverse treatments without any
 prior special diagnostic examinations, like an endoscopy,
 etc.

 This clinical history is repeated frequently, since many
 people believe that they have an ulcer or gastritis; or
 being told so by their doctor or any particular person,
 without having any special exams (I.e. endoscopy).
 One must always keep in mind that an ulcer or gastritis,
 treated with modern prescription medicine, improves
 greatly clinically, in as few as three or four days. Full
 recovery is expected, within one month to six weeks after
 the beginning of the treatment.
 Any delay in clinical improvement is an important reason
 for concern and cancer must be ruled out by endoscopy.

 
 A 77 year-old male with Ulcerated Gastric adenocarcinoma
 with elevated margins in the area of the corpus and
 antrum.

 A 60 year-old male with extensive obstructing carcinoma.

 Fornix Adenocarcinoma.

 Gastric ulcerated carcinoma of the fundus that causes
 mild hemorrhage.

               Extensive Gastric Carcinoma.

      Ulcerated and Infiltrating Adenocarcinoma.

 
 

Ulcerated and infiltrating Gastric Adenocarcinoma.

  
 Helicobacter pylori: Antral gastritis caused by H pylori has
 been lined to the development of gastric cancer. Patients
 with H pylori gastritis are 3-6 times more likely to develop
 gastric cancer than individuals without the infection.
 
 

 Infiltranting Adenocarcinoma of the Cardias.

 A 76 year-old female with gastric adenocarcinoma of the
 cardias.

Obstructing Gastric Adenocarcinoma.

 A 63 year-old male with weight loss of more than 40 pounds
 and vomiting. Obstructing gastric adenocarcinoma of the
 cardias is observed. 

Extensive infiltrating gastric adenocarcinoma.

 A 50 year-old female with abdominal pain and weight loss
 for a period of six months. Extensive infiltrating gastric
 carcinoma is observed.

Extensive Infiltrating Gastric Adenocarcinoma.

 A 75 year-old woman with ulcerated and infiltrating gastric
 carcinoma of the corpus and fundus.
 

 A 79 year-old male, weight loss more than 20 pounds
 gastric adenocarcinoma of distal corpus and the antrum.
 

 A 75 year-old female with ulcerated gastric carcinoma of
 the antrum.

 Advanced Gastric Carcinoma that is observed as ulcerated
 and infiltrating.

 Infiltrating Adenocarcinoma of the Antrum.

 A 62 year-old with ulcerated and infiltrating
 adenocarcinoma of the antrum.