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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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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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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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Gastric 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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Video Endoscopic Sequence 1 of 4.
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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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 prepiloric 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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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 21.
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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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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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 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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