lower gi - overview



Ulcerative colitis

Ulcerative colitis

Ralf Kiesslich, Prof. Dr.: Jul 28, 2009

45 year old female patient with long standing ulcerative colitis was scheduled for surveillance colonoscopy.

Patient has had pancolitis at her last examination. Over the last six months she was in stable clinical remission.

Colonoscopy with endomicroscopy was performed with fluorescein intravenously (5ml; 10%) as contrast agent. In addition, chromoendoscopy with methylene blue (~50ml, 0.1%) was performed prior endomicroscopy to unmask circumscribed lesions.

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Colorectal cancer

Colorectal cancer

Ralf Kiesslich, Prof. Dr.: Aug 06, 2009

72 year old female patient was scheduled for colonoscopy due to weight loss and anemia.

Abdominal ultrasound and laboratory workup prior colonoscopy not show any significant abnormalities.

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Colonic Polyps

Colonic Polyps

Ralf Kiesslich, Prof. Dr.: Aug 06, 2009

57 year old female patient was scheduled for screening colonoscopy.

Patient presented in good clinical condition.

Endomicroscopy was performed with fluorescein intravenously (5ml; 10%) as contrast agent.

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Depressed early colorectal cancer

Depressed early colorectal cancer

Ralf Kiesslich, Prof. Dr.: Aug 06, 2009

76 year old female patient has had abdominal pain and fatigue.
Patient was scheduled for gastroscopy and colonoscopy.

Confocal colonoscopy was performed with fluorescein intravenously (5ml; 10%) as contrast agent.

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Colon Polyposis

Colon Polyposis

Ralf Kiesslich, Prof. Dr.: Aug 06, 2009

A 17 year old girl reported about anal bleeding and weight loss.

Family history of colon cancer could not be evaluated because the Afghani patient became orphan right after birth and was adopted by an European family.

Endomicroscopy was performed with fluorescein intravenously (5ml; 10%) as contrast agent.

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Colorectal cancer

Colorectal cancer

Ralf Kiesslich, Prof. Dr.: Aug 30, 2009

62 year old male patient was scheduled for colonoscopy due to diarrhea with peranal bleeding, anemia and weight loss.


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Amyloid disease

Amyloid disease

Ralf Kiesslich, Prof. Dr.: Nov 24, 2009

49 year old female patient after domino liver transplantation had received an organ of a patient with amyloidosis.
Patient was scheduled for endomicroscopy evaluation 12 months after liver transplantation to clarify whether amyloid deposits might be identifiable.

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