Watching these videos after being diagnosed with Dieulafoy's lesion. Healthy 40 year old female. Had just came back from vacation lots of wine and aspirin. Blood transfusion and clips to stop the bleeding. My grandfather died from the same condition. Thank you for the video
Love your videos :) It's worth underscoring that the stress etiology in Ulcers/Gastritis isn't the daily modern day life stress. Rather it's patients who are critically ill and under massive physiological stress. Examples being prolonged intubation, sepsis, severe head trauma and extensive burns.
Upper GI bleeding can cause hematoemesis (vomitting blood). Causes: Esophagitis (reflux/GORD, infective, chemifally irritated & eosinophilic) . Barrett's oesophagus = metaplasia of last 1/3 of the oesophagus from squamous epithelium to Barrett's metaplasia (+ goblet cells) which can produce adenocarcinoma. . Oesophageal varices result from portal hypertension. These dilated veins draining the oesophagus can rupture. Diagnosis is done via endoscopy. Esophagus vein and left gastric vein drain the esophagus, they anastomose, and they drain to the portal vein to the liver. If you have portal hypertension as in liver cirrhosis, backflow of blood results in esophageal varices. . Mallory-Weiss Syndrome = longitudinal superficial tears near the cardio-esophageal junction (cardia of the stomach meets esophagus). Its associated with chronic vomitting, coughing, retching and straining. . Erosive gastritis = gastric mucosal erosion after damage to mucosal defense. Symptoms = bleeding Diagnostic = endoscopy Treatment = proton pump inhibitors/H2 blockers to stop acid secretion Causes = stress, use of NSAIDs, Alcohol. . Mass lesions in the esophagus can be polyps, and tumours (adenocarcinoma or squamous cell carcinoma). Benign tumours of the stomach: inflammation and hyperplastic polyps Fundic gland polyps Gastric adenomas Malignant tumours of the stomach Gastric carcinoma Gastric lymphoma Carcinoid tumours Stromal cell tumours . Dieulafoy's lesion = calibre persistent artery This is rare. It is life-threatening as it causes hemorrhage of GI tract. A bulging of a lesion that could rupture causing severe fatal internal bleeding. . Angiodysplasia is a common vascular abnormality in GI tract, similar to Telangiectasia Morphology: there are elastic, dilated, thin-walled vessels lined by Endothelium alone. Its most common in in the colon. Diagnosis: Endoscopy . Ulceration = erosion of the mucous membrane Similar risk factors to gastritis. Excess HCL secretion caused by H. Pylori infection, NSAID use, stress. Duodenal ulcers are more common than gastric. Bleeding, perforation, narrowing and obstruction are possible complicagions with ulceration.
Tnx for all, I'd to ask you if you can give the images of the final scheme, so then I can review it later easily. Really really tnx bro. It's perfect. PS: I'm from Brazil. Cya
Just taking a "wild guess" here, but I "THINK" I may have that Mallory-Weiss Syndrome. For about a year now, I've been waking up in the night from my stomach contents or acids rushing into my airway, which brings on intense coughing followed by vomiting. As of the past couple of months, the coughing as become so bad that it lasts all day long and is now associated with wheezing and it's harder to get a good clean breath of air. So as of last night, the bleeding began.
I'm 30, I'm pretty sure I'm gonna die by 40. I have black diarrhea poo on a daily basis, my intestinal area on the right and left side of my lower abdomen ache all the time, and I'm extremely tired 90% of the time even after a long sleep. I can't get healthcare because I can't afford it. Maybe death will provide me with relief. ( I live in the US )
RightAway87 please seek medical attention through the emergency room. Treatment will not be denied and hospitals have assistance with financing any treatmrnt you may need to sustain life. Don't get the run around. Ask for social services...they are there for you, the patient. Keep pushing for the care you deserve. Good luck to you!
Thanks for your response! It was the Advil PM I was taking that was causing the bleeding, I've since stopped taking it and all is well!. I appreciate your response, perhaps I'll make it to 50 and beyond :D
You are brilliant at making things so easy to understand. Thank you doctor! :)
Watching these videos after being diagnosed with Dieulafoy's lesion. Healthy 40 year old female. Had just came back from vacation lots of wine and aspirin. Blood transfusion and clips to stop the bleeding.
My grandfather died from the same condition.
Thank you for the video
as always, very helpful 👍 thx so much for the videos. keep up the amazing work
Love your videos :)
It's worth underscoring that the stress etiology in Ulcers/Gastritis isn't the daily modern day life stress.
Rather it's patients who are critically ill and under massive physiological stress. Examples being prolonged intubation, sepsis, severe head trauma and extensive burns.
That is awesome as always.Thank you.
You're the man!
Thanks for all the help 🔥🔥🔥🔥🔥🔥🔥🔥
Thank you so much, I always find inspiration from your lessons ^^
These are always amazing videos
Excellent video.
It was very helpful because of worthy explanation and attractive illustrations
Awesome video, Thank you !!!
nice and easy to understand , thanks
some doctors should see your videos before they start to teach us.
you made every topic so easy
best videos ever thank u so much
I can't imagine medical school without his videos 😍😍😍 very helpful
Upper GI bleeding can cause hematoemesis (vomitting blood).
Causes:
Esophagitis (reflux/GORD, infective, chemifally irritated & eosinophilic)
.
Barrett's oesophagus = metaplasia of last 1/3 of the oesophagus from squamous epithelium to Barrett's metaplasia (+ goblet cells) which can produce adenocarcinoma.
.
Oesophageal varices result from portal hypertension. These dilated veins draining the oesophagus can rupture.
Diagnosis is done via endoscopy.
Esophagus vein and left gastric vein drain the esophagus, they anastomose, and they drain to the portal vein to the liver. If you have portal hypertension as in liver cirrhosis, backflow of blood results in esophageal varices.
.
Mallory-Weiss Syndrome = longitudinal superficial tears near the cardio-esophageal junction (cardia of the stomach meets esophagus).
Its associated with chronic vomitting, coughing, retching and straining.
.
Erosive gastritis = gastric mucosal erosion after damage to mucosal defense.
Symptoms = bleeding
Diagnostic = endoscopy
Treatment = proton pump inhibitors/H2 blockers to stop acid secretion
Causes = stress, use of NSAIDs, Alcohol.
.
Mass lesions in the esophagus can be polyps, and tumours (adenocarcinoma or squamous cell carcinoma).
Benign tumours of the stomach:
inflammation and hyperplastic polyps
Fundic gland polyps
Gastric adenomas
Malignant tumours of the stomach
Gastric carcinoma
Gastric lymphoma
Carcinoid tumours
Stromal cell tumours
.
Dieulafoy's lesion = calibre persistent artery
This is rare. It is life-threatening as it causes hemorrhage of GI tract.
A bulging of a lesion that could rupture causing severe fatal internal bleeding.
.
Angiodysplasia is a common vascular abnormality in GI tract, similar to Telangiectasia
Morphology: there are elastic, dilated, thin-walled vessels lined by Endothelium alone. Its most common in in the colon. Diagnosis: Endoscopy
.
Ulceration = erosion of the mucous membrane
Similar risk factors to gastritis.
Excess HCL secretion caused by H. Pylori infection, NSAID use, stress.
Duodenal ulcers are more common than gastric.
Bleeding, perforation, narrowing and obstruction are possible complicagions with ulceration.
How do you make your videos ? I would like to know :)
thank youuuu!
Superb
Can you speak on the thyroid gland and it’s effects and how it would relate to these complication in any way?
Etoh/bulimia/foodpoinsoning -> violent vomiting -> gastro-esophageal tears -> bloodyvomit(hematemesis) -> Mallory-Weiss syndrome
Dx: endoscopy Tx: supportive
Lecture on Peptic ulcers pls
Thank u so much and 😍 love u
Is there a lower GI bleed video ?
amazinnngggggg drawingggggg!😍😍😍
Pls do u have an app
Small correction,angiodysplasia is lower G.I tract cause not upper G.I tract
thanks for an amazing presentation..
Tnx for all, I'd to ask you if you can give the images of the final scheme, so then I can review it later easily. Really really tnx bro. It's perfect. PS: I'm from Brazil. Cya
thank u
Thank.you.very.much.sir.
Good sir
thank you so much! 1/6/2018 :D
Just taking a "wild guess" here, but I "THINK" I may have that Mallory-Weiss Syndrome. For about a year now, I've been waking up in the night from my stomach contents or acids rushing into my airway, which brings on intense coughing followed by vomiting. As of the past couple of months, the coughing as become so bad that it lasts all day long and is now associated with wheezing and it's harder to get a good clean breath of air. So as of last night, the bleeding began.
Could be gerd
0:00 ➡️ 6:30
but what causes dieullafoy
🖤
Cool
dark mode plz
❤❤❤❤❤❤❤❤❤
Q: if the bleed is coffee ground where would the source be coming from?
B C bleeding within the abdominal cavity. More so the go tract. But need to test to confirm. It needs checked asap!
peptic ulcer
Upper GIT.
I'm 30, I'm pretty sure I'm gonna die by 40. I have black diarrhea poo on a daily basis, my intestinal area on the right and left side of my lower abdomen ache all the time, and I'm extremely tired 90% of the time even after a long sleep. I can't get healthcare because I can't afford it. Maybe death will provide me with relief. ( I live in the US )
RightAway87 please seek medical attention through the emergency room. Treatment will not be denied and hospitals have assistance with financing any treatmrnt you may need to sustain life. Don't get the run around. Ask for social services...they are there for you, the patient. Keep pushing for the care you deserve. Good luck to you!
Thanks for your response! It was the Advil PM I was taking that was causing the bleeding, I've since stopped taking it and all is well!. I appreciate your response, perhaps I'll make it to 50 and beyond :D
r u still alive?
@@omam2002 Yes. I'm better now.
@@RightAway87 glad to hear that 😄
Who else here had a GI bleed?
Mine was caused by ibuprofen
@@timbennett4016 did you get cured?