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Video Endoscopic Sequence 1 of 65.
Gastrointestinal Stromal Tumor (GIST).
This 42 year-old lady who underwent a routine endoscopy a submucosa mass was found, a laparoscopic resection is performed with the attends of GI endoscopy.
A case of Jejunal Gist is displayed in the Jejunum-ileum chapter.
For more endoscopic details, download the video clips
by clicking on the endoscopic images. Wait to be
downloaded complete then Press Alt and Enter for full
screen.
All endoscopic images shown in this Atlas contain
video clips. We recommend seeing the video clips in full
screen mode.
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Video Endoscopic Sequence 2 of 65.
Retroflexed image.
Gastrointestinal stromal tumors (GISTs) are rare.
Nevertheless, some may present with a life-threatening
hemorrhage or intestinal obstruction.
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Video Endoscopic Sequence 3 of 65.
Due to this ulcer some biopsies were taken.
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Video Endoscopic Sequence 4 of 65.
We tried to banding this submucous mass, but due to the size a little greater, we did not continue treating.
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Video Endoscopic Sequence 5 of 65.
Biopsies of great size were taken.
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Video Endoscopic Sequence 6 of 65.
Adrenalin dilution of 1/10000 and 50% Dextrose.
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Video Endoscopic Sequence 7 of 65.
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Video Endoscopic Sequence 8 of 65.
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Video Endoscopic Sequence 9 of 65.
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Video Endoscopic Sequence 10 of 65.
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Video Endoscopic Sequence 11 of 65.
Patient underwent an assisted laparoscopic resection.
Patient underwent a laparoscopic resection.
This video sequence shows the laparoscopic steps of this
surgery.
The increased use of laparoscopy in the management of
gastrointestinal problems continues to expand. Procedures
such as jejunostomies, diagnosis of intestinal obstruction or
ischemia, resection of the small bowel, and lysis of
adhesions can be managed with this technique.
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Video Endoscopic Sequence 12 of 65.
The surgeon is performing some marks were the exact site of the submucosa mass will be resected.
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Video Endoscopic Sequence 13 of 65.
This video clip shows the light of the laparoscope that transluminate through the gastric mucosa.
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Video Endoscopic Sequence 14 of 65.
Laparoscopic resection was planned after the abdominal
distension subsided. Pneumoperitoneum was established
with a Veress needle. A 5mm trocar was introduced in the
umbilical incision; a 5mm (0°) telescope was introduced and
the other two 5mm ports were inserted under vision – one
in the right midclavicular line and the other in the left
midclavicular line, below the level of the umbilicus.
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Video Endoscopic Sequence 15 of 65.
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Video Endoscopic Sequence 16 of 65.
For many GI malignancies, laparoscopic surgery is safe
and technically feasible, albeit with a somewhat longer
learning curve compared to open surgery. Advanced
procedures are technically demanding and require more
operative time.
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Video Endoscopic Sequence 17 of 65.
Surgery remains the standard for nonmetastatic
gastrointestinal stromal tumors (GISTs). Laparoscopic
surgery should be considered for these tumors as their
biologic behavior lends them to curative resection without
requiring large margins or extensive lymphadenectomies.
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Video Endoscopic Sequence 18 of 65.
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Video Endoscopic Sequence 19 of 65.
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Video Endoscopic Sequence 20 of 65.
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Video Endoscopic Sequence 21 of 65.
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Video Endoscopic Sequence 22 of 65.
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Video Endoscopic Sequence 23 of 65.
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Video Endoscopic Sequence 24 of 65.
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Video Endoscopic Sequence 25 of 64.
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Video Endoscopic Sequence 26 of 64.
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Video Endoscopic Sequence 27 of 64.
The GI gastroscope is inside of the abdominal cavity.
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Video Endoscopic Sequence 28 of 64.
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Video Endoscopic Sequence 29 of 64.
The gastroscope is inspecting the gallbladder.
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Video Endoscopic Sequence 30 of 64.
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Video Endoscopic Sequence 31 of 64.
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Video Endoscopic Sequence 32 of 64.
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Video Endoscopic Sequence 33 of 64.
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Video Endoscopic Sequence 34 of 64.
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Video Endoscopic Sequence 35 of 64.
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Video Endoscopic Sequence 36 of 64.
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Video Endoscopic Sequence 37 of 64.
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Video Endoscopic Sequence 38 of 64.
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Video Endoscopic Sequence 39 of 64.
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Video Endoscopic Sequence 40 of 64.
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Video Endoscopic Sequence 41 of 64.
Intraoperative video clip showing the linear stampler
applied to the stomach.
Stapled laparoscopic resection is a safe and effective
treatment option for nonmetastatic primary jejunal GIST.
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Video Endoscopic Sequence 42 of 64.
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Video Endoscopic Sequence 43 of 64.
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Video Endoscopic Sequence 44 of 64.
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Video Endoscopic Sequence 45 of 64.
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Video Endoscopic Sequence 46 of 64.
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Video Endoscopic Sequence 47 of 64.
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Video Endoscopic Sequence 48 of 64.
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Video Endoscopic Sequence 49 of 64.
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Video Endoscopic Sequence 50 of 64.
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Video Endoscopic Sequence 51 of 64.
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Video Endoscopic Sequence 52 of 65.
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Video Endoscopic Sequence 53 of 65.
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Video Endoscopic Sequence 54 of 65.
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Video Endoscopic Sequence 55 of 65.
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Video Endoscopic Sequence 56 of 65.
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Video Endoscopic Sequence 57 of 65.
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Video Endoscopic Sequence 58 of 65.
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Video Endoscopic Sequence 59 of 65.
Low power: Stromal tumor showing the muscularis
propria of stomach.
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Video Endoscopic Sequence 60 of 65.
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Video Endoscopic Sequence 61 of 65.
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Video Endoscopic Sequence 62 of 65.
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Video Endoscopic Sequence 63 of 65.
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Video Endoscopic Sequence 64 of 65.
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Video Endoscopic Sequence 65 of 65.
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