Gastric Ulcers, El Salvador Atlas of Gastrointestinal VideoEndoscopy. A Large Database of Images and Video Clips with Cases Reported.
El Salvador Atlas of Gastrointestinal VideoEndoscopy
An 87 year-old female with multiple gastric ulcers. The Patient had a history of severe epigastric pain for several months and had been under non-steroid analgesic treatment. There are several larger ulcers in the fundus and gastric body.

Video Endoscopic Sequence 1 of 2.

 Muliple Gastric Ulcers.

 An 87 year-old female with multiple gastric ulcers.
 The Patient had a history of severe epigastric pain for
 several months and had been under non-steroid
 analgesic treatment. There are several larger ulcers
 in the fundus and gastric body.
 

 
Gastric ulcers are observed at the corpus and fundus.

Video Endoscopic Sequence 2 of 2.

 Gastric ulcers are observed at the corpus and fundus.

 

In this endoscopic sequence an ulcer on the red scar is observed, the video displays between the normal image and the image displayed using magnification endoscope.

Video Endoscopic Sequence 1 of 2.

 Ulcer on the red scar

 In this endoscopic sequence an ulcer on the red scar is
 observed, the video displays between the normal image and
 the image displayed using magnification endoscope.

 
The image and the video clip display the red scar with magnification.

Video Endoscopic Sequence 2 of 2.

 The image and the video clip display the red scar with
 magnification.
Gastric ulcer proximal to the gastric angle.

Gastric ulcer proximal to the gastric angle.



  
Gastric Ulcer. The margin is smooth and there no evidence of surrounding mucosal discoloration or nodularity. multiple four-quadrant biopsies are indicated to rule out carcinoma.

Gastric Ulcer.

 The margin is smooth and there no evidence of surrounding
 mucosal discoloration or nodularity.
 multiple four-quadrant biopsies are indicated to rule out
 carcinoma.

 
Gastric Ulcer of the antrum. The video clip displays when the biopsies are taken.

Gastric Ulcer of the antrum.

 
 The video clip displays when the biopsies are taken.
A 69 year-old female with severe epigastric pain that worsens at midnight. The patient was under treatment for one month after this endoscopy was performed. We found a large ulcer in the posterior wall of the proximal corpus which displayed rounded edges. See the next image and video of this sequence (below).

Video Endoscopic Sequence 1 of 2.

 A 69 year-old female with severe epigastric pain that
 worsens at midnight. The patient was under treatment for
 one month after this endoscopy was performed. We found a
 large ulcer in the posterior wall of the proximal corpus
 which displayed rounded edges. See the next image and
 video of this sequence (below).
Same case as above, one month afterwards. The ulcer is in the healing process. fresh ulcer scar surrounded by prominent capillaries are appreciated. For more endoscopic details download both video clips by clicking on the endoscopic images, if you like to see the video in full screen, wait to be downloaded complete click on the video screen then press Alt and enter.

Video Endoscopic Sequence 2 of 2.

 Same case as above, one month afterwards.
 The ulcer is in the healing process. fresh ulcer scar
 surrounded by prominent capillaries are appreciated.
 For more endoscopic details download both video
 clips by clicking on the endoscopic images, if you like
 to see the video in full screen, wait to be downloaded
 complete click on the video screen then press Alt and enter.

A very large and ramified ulcer. The healing process can be observed in the follow images and videos shown below. Note: The dark and reddish tone of the images are due to the fact that a 150 light bulb was being used in the endoscope light source as an emergency measure, instead of the standard 300 watts bulb.

Video Endoscopic Sequence 1 of 3.

 A very large and ramified ulcer. The healing process can
 be observed in the follow images and videos shown below.
 Note: The dark and reddish tone of the images are due
 to the fact that a 150 light bulb was being used in the
 endoscope light source as an emergency measure,
 instead of the standard 300 watts bulb.
After 16 days of treatment (anti H2) a control endoscopy showed signs of healing and scarring. Narrowing of the ulcer and appearance of hyperemic margins are observed.

Video Endoscopic Sequence 2 of 3.

 After 16 days of treatment (anti H2) a control endoscopy
 showed signs of healing and scarring. Narrowing of the
 ulcer and appearance of hyperemic margins are observed.

One and half months of treatment, lineal healing with fresh read scar is found. For more endoscopic details download the video clips by clicking on the endoscopic images, if you like to see the video in full screen, wait to be downloaded complete click on the video screen then press Alt and enter.

Video Endoscopic Sequence 3 of 3.

 One and half months of treatment, lineal healing with
 fresh read scar is found.
 For more endoscopic details download the video
 clips by clicking on the endoscopic images, if you like
 to see the video in full screen, wait to be downloaded
 complete click on the video screen then press Alt and
 enter.

An 82 year-old woman, Gastric ulcer at the antrum induced by by non-steroidal anti-inflammatory drugs (NSAID).

        
 An 82 year-old woman, Gastric ulcer at the antrum induced
 by by non-steroidal anti-inflammatory drugs (NSAID).

Giant Gastric Ulcer. A 54 year-old male was hospitalized due to hematemesis. An enormous antral ulcer was found. Malignancy was ruled out by multiple biopsies and subsequent endoscopies. Giant Gastric Ulcer.

Giant Gastric Ulcer.

 A 54 year-old male was hospitalized due to hematemesis.
 An enormous antral ulcer was found. Malignancy was
 ruled out by multiple biopsies and subsequent endoscopies.
 
Fresh stellate ulcer scar.

Fresh stellate ulcer scar.

 
 



 
Scars of Ulcers A 60 year-old schizophrenic female. Image of gastric ulcer scars, with an image such as the above is imperative to rule out carcinoma with biopsies.

Scars of Ulcers

 A 60 year-old schizophrenic female.
 Image of gastric ulcer scars, with an image such as the
 above is imperative to rule out carcinoma with biopsies.

Scars of Ulcers A 60 year-old schizophrenic female. Image of gastric ulcer scars, with an image such as the above is imperative to rule out carcinoma with biopsies.

 Scars of Ulcers,

 A 60 year-old schizophrenic female. Image
 of gastric ulcer scars, with an image such as the above is
 imperative to rule out carcinoma with biopsies.
 
 
A 74 year-old male with abdominal pain A endoscopy displays a large ulcer in the proximal body, seen best by retroflexing the endoscope, which enables visualization of the upper portion of the stomach from below. A small diverticulum is seen at the fornix.

Video Endoscopic Sequence 1 of 2.

 A 74 year-old male with abdominal pain
 A endoscopy displays a large ulcer in the proximal body,
 seen best by retroflexing the endoscope, which enables
 visualization of the upper portion of the stomach from
 below. A small diverticulum is seen at the fornix.

After 5 years a new endoscopy was performed and a diverticulum image was found at the fornix, as we described above, The patient has a small diverticula 5 years previously, but this image appears as a ulcers scar.

Video Endoscopic Sequence 2 of 2.

 After 5 years a new endoscopy was performed and a
 diverticulum image was found at the fornix, as we
 described above, The patient has a small diverticula
 5 years previously, but this image appears as a ulcers scar.

A 74 year-old male with hematemesis. Endoscopy displays a big ulcer with a prominent visible vessel.

A 74 year-old male with hematemesis.

 Endoscopy displays a big ulcer with a prominent visible
 vessel.
An 89 year-old female with vomiting and epigastric pain. A gastric ulcer with smooth borders is seen. For more endoscopic detail download the video clip by clicking on the endoscopic image.

   An 89 year-old female with vomiting and epigastric pain.
 
 A gastric ulcer with smooth borders is seen.
 
This 80 year-old woman with multiple small multiple gastric ulcers.

 Multiple small gastric Ulcers.

 This 80 year-old woman with multiple small gastric ulcers.
An 82-old male with a large, deep ulcer niche and smooth margins.

 Gastric Ulcer at the proximal body.

 An 82-old male with a large, deep ulcer niche and smooth
 margins.
Upper gastrointestinal bleeding. The patient has his first hemorrhage as a cause of anterior wall of the antrum and portal hypertensive gastropathy, after that, he had five hemorrhage as a cause of acute variceal bleeding.

Upper Gastrointestinal Bleeding.

 The patient has his first hemorrhage as a cause of anterior
 wall of the antrum and portal hypertensive gastropathy,
 after that, he had five hemorrhage as a cause of acute
 variceal bleeding.