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Video Endoscopic Sequence 1 of 8.
Gastric Adenocarcinoma with gastric varices and atrophic gastritis.
A 95 year-old male was hospitalized because of pallor and
melena with 8.0 mg/dl. of Hb.
For more endoscopic details download the video clips by
clicking on the endoscopic images, wait to be downloaded
complete then press Alt and Enter that you can appreciate
the video in full screen.
All endoscopic images shown in this Atlas contain
video clips.
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Video Endoscopic Sequence 2 of 8.
Several conditions may be precancerous and may increase
the risk of stomach cancer. They include:
- Atrophic gastritis, chronic gastritis (inflammation of the stomach lining), and infection by a certain type of bacteria.
- Pernicious anemia: a chronic vitamin-B12 deficiency anemia that occurs in older adults characterized by numbness and tingling in the extremities.
- Achlorhydria: low levels or absence of hydrochloric acid in gastric juice.
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Video Endoscopic Sequence 3 of 8.
Another image and video clip of this advanced and ulcerated neoplasia.
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Video Endoscopic Sequence 4 of 8.
This image and the video clip display chromoendoscopy
with lugolīs stain.
Chromoendoscopy and vital staining are simple adjunct
methods to improve the yield of endoscopic.
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Video Endoscopic Sequence 5 of 8.
Some isolated gastric varices were found at the fundus.
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Video Endoscopic Sequence 6 of 8.
Islated gastric varices are more common with
adenocarcinoma of the pancreas due to splecnic thrombosis.
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Video Endoscopic Sequence 7 of 8.
More images and video clips of this case of
adenocarcinoma with gastric varices.
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Video Endoscopic Sequence 8 of 8.
This image display the neoplasia in frontal view.
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Video Endoscopic Sequence 1 of 4.
Recurrent Gastric Adenocarcinoma
This 75 year-old female, 3 months previous, in another country underwent a subtotal gastrectomy due to a gastric adenocarcinoma.
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Video Endoscopic Sequence 2 of 4.
Endoscopy of Recurent Gastric Adenocarcinoma
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Video Endoscopic Sequence 1 of 3.
Endoscopy appearanceGastric Adenocarcinoma
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Video Endoscopic Sequence 4 of 4.
Endoscopy of Recurent Gastric Adenocarcinoma
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Video Endoscopic Sequence 1 of 4.
Endoscopy of Gastric Adenocarcinoma with signet ring cells
A 73 year-old female with obstructing ulcerated gastric
neoplasia that made pseudo piloro and infiltrated the
posterior wall of the antrum.
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Video Endoscopic Sequence 2 of 4.
Status post Surgery of the case above displayed
Jejuno-Jejuno anastomosis.
The image and the video display the Jejuno-jejuno
anastomosis.
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Video Endoscopic Sequence 3 of 4.
Status post Surgery of the case above displayed
Jejunum-jejunum anastomosis.
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Video Endoscopic Sequence 4 of 4.
Status post surgery of gastric carcinoma.
Four months after the surgery a new endoscopy was
performed, the image and the video display the
gastro-jejunostomy.
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Ulcerated Gastric Carcinoma of the Antrum.
An 84 year-old male who presented with early satiety and
postprandial vomiting, suggestive of gastric outlet
obstruction, along with weight loss and anemia.
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Endoscopy of Early Gastric Cancer type I.
Polypoid lesion that protrudes into the lumen of the
stomach, but does not invade the muscular propia.
The lesion was only 3mm in its diameter. (Pathological
specimen).
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Video Endoscopic Sequence 1 of 21.
Endoscopy of Early Gastric Cancer.
This 60 year-old male with vague abdominal discomfort.
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Video Endoscopic Sequence 2 of 21.
Early disease has no associated symptoms; however, some
patients with incidental complaints are diagnosed with early
gastric cancer. Most symptoms of gastric cancer reflect
advanced disease. Patients may complain of indigestion,
nausea or vomiting, dysphagia, postprandial fullness, loss
of appetite, and weight loss.
- Late complications include pathologic peritoneal and pleural effusions; obstruction of the gastric outlet, gastroesophageal junction, or small bowel; bleeding in the stomach from esophageal varices or at the anastomosis after surgery; intrahepatic jaundice caused by hepatomegaly; extrahepatic jaundice; and inanition resulting from starvation or cachexia of tumor origin.
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Video Endoscopic Sequence 3 of 21.
As proposed by the Japanese Society of
Gastroenterological Endoscopy in 1962, early gastric
cancer (EGC, also called superficial spreading carcinoma)
is defined as adenocarcinoma limited to the gastric mucosa
and submucosa regardless of whether regional lymph nodes
are involved or not. This definition reflected an
appreciation that EGC represented a subset of gastric
cancers that had a favorable prognosis. Survival rates of 85
to more than 90 percent five years after resection have
been reported in Japan and the West . In one series from
Europe, for example, survival was similar for EGC and
benign gastric ulcer and no patients died of disseminated
disease. In comparison, five-year survival without surgery
was only 64.5 percent in one series from Japan due to
progression to invasive disease . These values are still
better than the 15 to 44 percent five-year survival with
advanced gastric cancer, indicating the EGC may be an
earlier stage of disease with a long latent period.
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Video Endoscopic Sequence 4 of 21.
Five days after a follow up endoscopy was performed.
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Video Endoscopic Sequence 5 of 21.
Surgical resection of early gastric cancers offers an
excellent (90-100%) chance of cure based on several
Japanese series.
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Video Endoscopic Sequence 6 of 21.
Tumor biology and carcinogenesis are active areas of
research investigation. The management of gastric cancer
requires a thorough understanding of gastric anatomy.
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Video Endoscopic Sequence 7 of 21.
Lugol Chromoendoscopy
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Video Endoscopic Sequence 8 of 21.
Panoramic view of the gastric fundus with the tumor.
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Video Endoscopic Sequence 9 of 21.
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Video Endoscopic Sequence 10 of 21.
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Video Endoscopic Sequence 11 of 21.
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Video Endoscopic Sequence 12 of 21.
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Video Endoscopic Sequence 13 of 21.
Lymphatic nodules of the lesser curvature.
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Video Endoscopic Sequence 14 of 21.
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Video Endoscopic Sequence 15 of 21.
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Video Endoscopic Sequence 16 of 21.
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Video Endoscopic Sequence 17 of 21.
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Video Endoscopic Sequence 18 of 21.
Microscopic pictures of the malignant neoplasia with invasion of the submucosa.
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Video Endoscopic Sequence 19 of 21.
Microscopic pictures of the malignant neoplasia with invasion of the submucosa.
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Video Endoscopic Sequence 20 of 21.
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Video Endoscopic Sequence 21 of 21.
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Ulcerated and obstructed Adenocarcinoma.
A 67 year-old female with gastric adenocarcinoma that
obstructed the gastric antrum, infiltrated the gastric angle.
Central necrosis and ulceration are appreciated.
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Obstructed Adenocarcinoma of the Gastric Antrum.
A 62 year-old female with anemia and weight loss of more
than 20 pounds.
Gastric Adenocarcinoma, ulcerated, with elevated margins
that infiltrates the antrum and gastric angle.
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Ulcerated Gastric Adenocarcinoma of the incisura angularis.
An 81 year old female with abdominal pain and weight loss
of 20 pounds.
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Endoscopy of Gastric Adenocarcinoma
Gastric Adeno-Carcinoma that produces obstruction of the
gastric body.
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Antrum Adenocarcinoma.
A 61 year-old male. No weight loss neither vomiting had
been reported.
An antrum adenocarcinoma with nearly complete
occlusion was found. Multiples malign ulcers are observed
at the antrum and corpus.
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Obstructed Adenocarcinoma.
Gastric Carcinoma that produces antrum and distal body
obstruction.
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Video Endoscopic Sequence 1 of 2.
A 51 year-old male, brother of a well known pediatric
surgeon, who asked us to perform an upper endoscopy, due
to obstructive symptoms. We found an antrum carcinoma.
The image displayed above is one year after initial
diagnosis.
The carcinoma proved to be inoperable.
The image and video shown is after chemotherapy and
radiation used palliatively.
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Video Endoscopic Sequence 2 of 2.
Post surgical status of the previous case.
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Gastric Adenocarcinoma of the Antrum.
Carcinoma of the antrum causing high grade stenosis.
Biliar reflux is observed that covers the necrosis.
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Gastric Adenocarcinoma of the Antrum.
A 58 year-old female presenting with a carcinoma of the
antrum with central necrosis.
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Obstructed Adenocarcinoma of the Antrum.
A 67 year-old female with obstructing gastric carcinoma of
the antrum and distal corpus.
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Adenocarcinoma of the Gastric Antrum.
Ulcerated adenocarcinoma of the antrum, causing nearly
complete occlusion.
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Doughnut-shape Gastric Adenocarcinoma.
A 49 year-old male with obstructed carcinoma of the
antrum with central necrosis.
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Gastric adenocarcinoma with Signet-ring cells.
A 77 year-old female with epigastric pain and weight loss of
21 pounds.
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Adenocarcinoma of the Gastric Antrum.
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Adenocarcinoma of the Gastric Antrum.
A 74 year-old female with carcinoma of the antrum causing
high-grade stenosis.
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Adenocarcinoma of thePylorus.
A 67 year-old woman, with gastric carcinoma of the
antrum.
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Adenocarcinoma of the Gastric Antrum.
A 47 year-old male with weight loss of 20 pounds and
vomiting. Obstructing gastric adenocarcinoma of the
antrum was found.
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Gastric adenocarcinoma that obstructed the antrum.
A 66 year-old male with persisting vomiting, weight loss
and anorexia.
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Adenocarcinoma of the Gastric Antrum.
A 50 year-old female with obstructing carcinoma of the
antrum.
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Adenocarcinoma of the Gastric Antrum.
A 64 Year-old male, who complained of persisting vomiting,
weight loss of 17 pounds, his creatinine was found of 3.4
mg./dl and Hb. 11.0 mg./dl.
Large Carcinoma of the antrum causing high-grade
stenosis.
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Adenocarcinoma of the Gastric Antrum.
A 73 years old man, with weight loss more than 25 pounds,
abdominal pain and vomiting.
Obstructing Adenocarcinoma of the antrum.
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Adenocarcinoma of the Gastric Antrum.
A 60 year-old dumb deaf woman with ulcerated
carcinoma at the pre-pyloric antrum.
Similar image but benign in nature is dispayed in The
Gastric Ulcer chapter.
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Adenocarcinoma of the Gastric Antrum.
Ulcerated Gastric Carcinoma of the antrum with signet ring
cells.
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A 70 year-old male, with abdominal pain, weight loss of
more than 40 pounds and vomiting.
Gastric Adenocarcinoma that invaded antrum, corpus and
fundus was found.
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A 60 year-old male with Gastric Adenocarcinoma of the
fundus.
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A 69 year-old male with Gastric Adeno Carcinoma of the
cardias.
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Ulcerated Adenocarcinoma of the fundus and the cardias.
A 56 year-old male from the republic of Spain.
He had disphagia and epigastric pain.
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Gastric Adenoarcinoma of the fundus.
A 66 year-old male with weight loss of 22 pounds and
disphagia anorexia and vomiting.
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A 48 year-old female with weight loss of 20 pounds and
epigastric pain
Signet-ring adenocarcinoma of the gastric body and
fundus.
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Video Endoscopic Sequence 1 of 2.
Gastric Adenocarcinoma of the Antrun
A 59 year-old male who came from the republic of
Honduras, to be evaluated for abdominal pain and weight
loss of 20 pounds.
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Video Endoscopic Sequence 2 of 2.
The antrum is deformed, the margin of the tumor are
elevated.
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Gastric Adenocarcinoma of the Fundus.
An 84 year-old female with abdominal pain and weigh loss.
An ulcerated neoplasia in the fundus with hemorrhage is
observed.
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Video Endoscopic Sequence 1 of 3.
A 62 year-old female with multinodular goiter present with
nausea, vomiting and abdominal pain. She came to our
office with her family physician who asked to perform her
an upper endoscopy.
The endoscopic image displays a radial nodularity with
smooth tissue of the gastric antrum, There are some
retraction of the antrum with a pseudo diverticula.
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Video Endoscopic Sequence 2 of 3.
The image displays obtaining some biopsies of the
neoplasia.
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Video Endoscopic Sequence 3 of 3.
The image and the video clip display a ulcerated deforming
antrum.
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A 75 year-old woman with ulcerated and infiltrating gastric
carcinoma.
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A 62 year-old male with diffuse gastric carcinoma with
superficial mucosal necrosis.
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62 year old male with obstructing Gastric Carcinoma.
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Gastric Adenocarcinoma of the fundus.
An 84 year-old male with weight loss of 40 pounds.
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Ulcerated Adenocarcinoma.
A 36 year-old male with ulcerated adenocarcinoma of the
posterior wall of the corpus.
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Video Endoscopic Sequence 1 of 2.
A 74 year-old man, with weight loss and vomiting abdominal
ultrasonography revealed that the stomach wall were
thickened.
Endoscopically a gastric carcinoma of the corpus is seen.
A cardial polyp is appreciated in the video clip.
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Video Endoscopic Sequence 2 of 2.
There is a malignat gastric glandular neoplasia, tubular
(Intestinal Type).
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Video Endoscopic Sequence 1 of 5.
This 72 year-old male smoker, has been suffering of
intractable hiccups weight loss of 40 pounds, nausea and
vomiting the biopsies display gastric adenocarcinoma of
the intestinal type. The incidence of persistent hiccup in
patients with advanced cancer is unknown but considered
to be small.
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Video Endoscopic Sequence 2 of 5.
Retroflexed image, observing the neoplasia that infiltrates the gastric cardias.
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Video Endoscopic Sequence 3 of 5.
Endoscopy of Gastric Adenocarcinoma
More images of the gastric cardias.
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Video Endoscopic Sequence 4 of 5.
Persistent or intractable hiccups are commonly associated
with an underlying disease. Hiccups are caused by
irritation of visceral afferent fibres of the vagus nerve or
by direct irritation of the diaphragm. Various definitions of
hiccups can be found in the literature. A consensus is 'the
repeated, involuntary, spasmodic contraction of the
diaphragm and inspiratory muscles followed by sudden
closure of the glottis' The medical term for hiccup –
singultus – stems from the Latin word singult, which means
catching one's breath while sobbing.
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Video Endoscopic Sequence 5 of 5.
Hiccupping is a characteristic noise caused by a sudden
closure of the glottis after repeated, involuntary,
spasmodic contraction of the respiratory muscles.
Hiccupping caused by gastric distention, spicy foods, and
neural dysfunction often resolves itself without any
treatment. Some hiccups are associated with certain
diseases or occur postsurgically, and life-restricting
intractable hiccups should be treated. The cause of hiccups
should be expressly stated for treatment.
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Video Endoscopic Sequence 1 of 6.
Recurrent Gastric Cancer after Gastrectomy Billroth II
This 65 year-old female, 3 years previously underwent a
gastrectomy Billroth II due to a gastric adenocarcinoma of
the antrum, one month previously of this endoscopy began
with dysphagia, patient was referred to our endoscopic unit
for evaluation.
Extensive neoplastic infiltration of the fundus and cardias,
retroflexed image.
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Video Endoscopic Sequence 2 of 6.
Post surgical appearance observing three suture granulomas.
Suture granulomas can occur after gastric surgery with
nonabsorbable suture material. They are usually an
asymptomatic, incidental finding on post-surgical x-ray
studies, but have to be recognized because their
radiological appearance may mimic gastric neoplasms and
therefore may lead to unnecessary reoperations.
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Video Endoscopic Sequence 3 of 6.
Retroflexed image, the video clip shows the gastric fundus totally infiltrated with this cancer.
Patients with recurrent gastric cancer have cancer that has returned after primary treatment. Patients with refractory gastric cancer have cancer that has stopped responding to primary or secondary treatments.
Old age and peritoneal recurrence negatively influenced
on survival from recurrence for patients who had
underwent curative gastrectomy for gastric cancer.
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Video Endoscopic Sequence 4 of 6.
The video clip shows suture granulomas magnyfing image.
Chemotherapy is the main treatment for patients who have
residual cancer after surgery or experience a cancer
recurrence after surgery. Single chemotherapy agents
such as Platinol®, 5-FU, Mutamycin®, doxorubicin and
Ellence® have been used for the treatment of gastric
cancer for several years. However, these drugs result in
clinical responses in less than half of patients with
recurrent gastric cancer and virtually no complete
responses are seen following single agent chemotherapy.
The survival of patients treated with 5-FU-based
chemotherapy combinations is less than one year. Recent
clinical trials indicate that newer chemotherapy agents
such as Camptosar®, Gemzar®, Taxotere® and paclitaxel
may be the most active single agents for the treatment of
gastric cancer, with complete disappearance of cancer
occurring in up to 15% of patients. Current clinical trials
are evaluating various combinations of these newer drugs
often in combination with Platinol® and 5-FU.
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Video Endoscopic Sequence 5 of 6.
Due to the manipulation with the endoscope, the neoplasia
initiates a slight bleeding that was controlled successfully
with argon plasma APC.
Patients who experience a cancer recurrence following
surgery can sometimes benefit from treatment with
radiation therapy with or without chemotherapy. Radiation
therapy can be extremely effective in temporarily
controlling local symptoms from gastric cancer. In one
clinical trial, 27 patients with inoperable gastric cancer
were treated with chemotherapy and concurrent radiation
therapy. The overall response rate was 56%, including
11 % with a complete response. Two years following
treatment, 29% of patients were alive without progression
of their cancer. It was concluded from this clinical trial that
combined chemotherapy and radiation therapy has
substantial activity for the local control of advanced gastric
cancer. Future clinical trials will continue to evaluate
combinations of newer chemotherapy drugs and radiation
with other local-regional and systemic treatments.
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Video Endoscopic Sequence 6 of 6.
Therapeutic maneuver is being continued.
Prior to any surgical procedure, adequate preparation of
the patient is important to minimize complications. Many
patients with gastric cancer are malnourished at the time
of diagnosis. Aggressive nutritional support has not been
shown to improve long-term survival, but it has been
shown to improve survival in the immediate post-operative
period. Feeding intravenously and/or through a
naso-gastric tube can enhance nutrition before surgery.
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Video Endoscopic Sequence 1 of 3.
Recurrent Gastric Cancer after Gastrectomy Billroth II
This 67 year-old male, five year-previously underwent a
gastrectomy Billroth II due to a gastric adenocarcinoma of
the antrum in this follow up endoscopy founded a neoplasic
infiltration in the lesser curvature.
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Video Endoscopic Sequence 2 of 3.
Gastro-jejuno-anastomosis
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Video Endoscopic Sequence 3 of 3.
More images and video clips.
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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.
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Video Endoscopic Sequence 2 of 3.
The images and video clips show a large ulcerated tumor.
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Video Endoscopic Sequence 3 of 3.
More images and video clips.
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Video Endoscopic Sequence 1 of 5.
Early Gastric Adenocarcinoma
This 52 year-old female, presented this lesion at the
antrum, the endoscopic ultrasound showed that lesion is
limited at the mucosa and submucosa.
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Video Endoscopic Sequence 2 of 5.
This image shows irregular ulcerated adenocarcinoma
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Video Endoscopic Sequence 3 of 5.
Endoscopy of Gastric Adenocarcinoma in the Early Phase
More images and video clips.
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Video Endoscopic Sequence 4 of 5.
Endoscopy of Gastric Adenocarcinoma in the Early Phase
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Video Endoscopic Sequence 5 of 5.
Endoscopy of Gastric Adenocarcinoma in the Early Phase
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Adenocarcinoma of the fornix.
A 64 year-old male with adenocarcinoma of the fundus.
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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.
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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.
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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.
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Cauliflower-like Infiltrating Gastric Carcinoma.
A 94 year-old female with long history of epigastric
pain, nausea, vomiting, sialorrea and weight loss.
Medline.
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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.
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Gastric Adenocarcinoma which exhibits a mass effect and
displays multiple ulcers.
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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.
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Large Gastric Adenocarcinoma of the body with central
ulceration
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Ulcerated Adenocarcinoma of the Body.
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Endoscopic Image of Gastric Cancer
Gastric Adenocarcinoma presented as two ulcers at the
antrum and angle.
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Video Endoscopic Sequence 1 of 2.
Adenocarcinoma of the cardias extending into the
esophagus.
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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.
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Advanced Gastric Cancer.
A large ulcerated mass is seen.
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Infiltrating Adenocarcinoma.
Advanced adenocarcinoma of the corpus and fundus.
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Ulcerated Adenocarcinoma of the body.
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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.
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Adenocarcinoma of the antrum
A 77 year-old male with Ulcerated Gastric adenocarcinoma
with elevated margins in the area of the corpus and
antrum.
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A 60 year-old male with extensive obstructing carcinoma.
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Fornix Adenocarcinoma.
Gastric ulcerated carcinoma of the fundus that causes
mild hemorrhage.
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Extensive Gastric Carcinoma.
Ulcerated and Infiltrating Adenocarcinoma.
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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.
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Infiltranting Adenocarcinoma of the Cardias.
A 76 year-old female with gastric adenocarcinoma of the
cardias.
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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.
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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.
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Extensive Infiltrating Gastric Adenocarcinoma.
A 75 year-old woman with ulcerated and infiltrating gastric
carcinoma of the corpus and fundus.
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A 79 year-old male, weight loss more than 20 pounds
gastric adenocarcinoma of distal corpus and the antrum.
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A 75 year-old female with ulcerated gastric carcinoma of
the antrum.
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Advanced Gastric Carcinoma that is observed as ulcerated
and infiltrating.
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Infiltrating Adenocarcinoma of the Antrum.
A 62 year-old with ulcerated and infiltrating
adenocarcinoma of the antrum of the diffuse type.
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Photography Sequence 1 of 9.
Polypoid Adenocarcinoma
Click on the image to enlarge in a new windows
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Photography Sequence 2 of 9.
More images
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Photography Sequence 3 of 9.
Image of Gastric Adenocarcinoma
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Photography Sequence 4 of 9.
Image of Gastric Cancer
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Photography Sequence 5 of 9.
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Photography Sequence 6 of 9.
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Photography Sequence 7 of 9.
Appearance of Gastric Carcinoma
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Photography Sequence 8 of 9.
Appearance of Gastric Cancer
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Photography Sequence 9 of 9.
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Video Endoscopic Sequence 1 of 5.
Gastric Adenocarcinoma of the antrum
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Video Endoscopic Sequence 2 of 5.
There are a small foci of bleeding that may cause the anemia.
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Video Endoscopic Sequence 3 of 5.
After the biopsies, there is a slight but continuous bleeding
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Video Endoscopic Sequence 4 of 5.
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Video Endoscopic Sequence 5 of 5.
Argon Plasma Coagulation for hemostatic Therapy
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