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Related Concept Videos

Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

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Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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Esophageal Varices-II: Clinical Features and Management01:28

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
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Gastritis-II: Pathophysiology01:17

Gastritis-II: Pathophysiology

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Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
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Peptic Ulcer Disease I: Introduction01:30

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Peptic Ulcer Disease (PUD) is characterized by mucosal excavation in the esophagus, stomach, pylorus, or duodenum. It can manifest as acute or chronic based on the extent and duration of mucosal involvement.
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
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Aneurysm I: Introduction01:30

Aneurysm I: Introduction

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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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Blood Supply to the Digestive System01:16

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Splanchnic circulation refers to the network of blood vessels that supply and drain blood from the abdominal organs involved in digestion, including the stomach, liver, pancreas, intestines, and spleen. This circulation delivers essential nutrients and oxygen while removing waste products from these organs.
Blood Supply to the Digestive System: The splanchnic circulation involves three main arteries: the celiac artery (also known as the celiac trunk) and the superior and inferior mesenteric...
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Related Experiment Video

Updated: Sep 11, 2025

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
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Gastroduodenal Artery Pseudoaneurysm Causing Upper Gastrointestinal Bleeding.

Nadine Abul-Khoudoud1, Jack Ludwig1, Ravi Patel1

  • 1Internal Medicine, HCA Healthcare/University of South Florida (USF) Morsani College of Medicine, Regional Medical Center Bayonet Point, Hudson, USA.

Cureus
|August 13, 2025
PubMed
Summary

Gastroduodenal artery pseudoaneurysms (GDAPs) are rare, life-threatening vascular conditions. This case study details the successful management of a GDAP using angiography and coil embolization, emphasizing early diagnosis and collaborative care.

Keywords:
arterybleedegdembolizationgastroduodenalgastrointestinalmicrocoilnon-steroidal anti-inflammatory drugpseudoaneurysm

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Area of Science:

  • Gastroenterology and Interventional Radiology
  • Vascular Surgery

Background:

  • Gastroduodenal artery pseudoaneurysms (GDAPs) are uncommon yet critical vascular abnormalities.
  • They arise from arterial wall damage, often linked to pancreatitis, trauma, or ulcers.

Observation:

  • A 73-year-old female presented with a GDAP of undetermined cause.
  • Diagnostic angiography revealed the pseudoaneurysm's extent and vascular supply.

Findings:

  • Successful endovascular management was achieved through coil embolization.
  • This minimally invasive approach effectively occluded the pseudoaneurysm.

Implications:

  • Highlights the necessity of prompt GDAP recognition and diagnosis.
  • Underscores the value of multidisciplinary collaboration involving interventional radiology and surgery.
  • Demonstrates the efficacy of endovascular techniques in managing complex vascular lesions.