Procedure: Upper GI Endoscopy
Indications: Gastric Varices
Providers: Terrence Barrett MD, Trushar B. Patel (Fellow)
Referring MD: Alla Y. Grigorian MD
Findings: A small hiatus hernia was present.
The Z line was regular and was found 37 cm from the incisors.
Grade III varices without bleeding were found in the middle third of the esophagus and in the lower third of the esophagus.
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Providers: Paul Angulo MD, Kishore Maganty MBBS (Fellow).
Referring MD: Roberto Gedaly MD, Michael A. Cooper MD.
Medicines: Fentanyl 125 micrograms IV, Midazolam 8 MG IV, Promethazine 25 mg IV.
Complications: No immediate complications.
Estimated blood loss: Minimal
After obtaining informed consent, the endoscope was passed under direct vision. Throughout the procedure, the patient’s blood pressure, pulse and oxygen saturations were monitored continuously. The endoscope was introduced through the mouth and advanced to the second part of duodenum. The upper GI endoscopy was accomplished without difficulty. The patient tolerated the procedure well.
Findings: Grade I-II varices were found in the middle third of the esophagus and in the lower third of the esophagus. There was no stigmata of bleeding. The Z-line was visualized at 40 cm from the incisors.
For this condition the doctor has me taking Nadolol 40 MG a day. I am fundraising for this medication.
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