Subscribe - the global online resource for all aspects of gastroenterology, hepatology and endoscopy

 22 March 2018

Advanced search - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Roy Pounder


Review Articles
Slide Atlas  
Video Clips
Online Books
Advanced Digestive Endoscopy
Classical Cases
Conference Diary
International GH Links
USA GH Links
National GH Links
National GI Societies
Other Useful Links

Emails on Gastroenterology and Hepatology
the National AIDS Treatment Advocacy Project
Visit the gastroenterology section of the EUMS

Slide atlas

HepatologyCirrhosis and portal hypertension

Variceal hemorrhage

Click a heading in the right-hand column to see the selected images in that subject area

Recently bleeding esophageal varix.
A 72-year-old female with established cirrhotic primary biliary cirrhosis was admitted with hematemesis and melaena. Her initial BP was 90/40 and her hemoglobin concentration was 8.7g/dl. Following resuscitation, she was endoscoped with the finding of non-bleeding esophageal varices. There is a small firmly-adherent clot on the varix, indicating the site of her recent hemorrhage (a). She was treated by endoscopic banding and was discharged 4 days later. Three weeks later she was admitted with a further massive hematemesis, when repeat endoscopy revealed gushing variceal bleeding (b). Ulceration in the 12 o'clock position can be seen as a result of her previous banding. Following endoscopic sclerotherapy with ethanolamine oleate 5ml, hemostasis was secured (c). She died 5 days later from liver failure.


Ken Matthewson, Newcastle upon Tyne, UK

Recently bleeding esophageal varix.

Download this image

PC users: right-click on the image and choose 'Save Picture/Image As' from the popup menu.
Mac users: click and hold down over the image and choose 'Save This Image As' from the popup menu.

Submit your images

Play a part in the community by publishing your important images in the Slide Atlas. We're looking for high quality images in gastroenterology, hepatology or endoscopy.

Go to top of page Email this page Email this page to a colleague

Close folder Gastroenterology
Stomach & duodenum
Helicobacter pylori
Small intestine
Colo-rectum and anus
Inflammatory bowel disease
Functional bowel disorders
Symptoms/signs of gastrointestinal disease
Basic science
Close folder Hepatology
Biliary tract
Viral hepatitis
Liver diseases
  Cirrhosis and portal hypertension
Liver transplantation
Liver & other diseases
Pediatric hepatology
Basic science
Close folder Endoscopy
Upper endoscopy
Endoscopic ultrasound
Practice issues

Blackwell Publishing is a Blackwell Publishing registered trademark
© 2018 Wiley-Blackwell and and contributors
Privacy Statement
About Us