The clot in the esophagus at the site of the primary hemostasis. Combined use of clips and nylon snare ("tulip-bundle") as a rescue endoscopic bleeding control in a mallory-weiss syndrome. Ivekovic H, Radulovic B, Jankovic S, Markos P, Rustemovic N - Case reports in gastrointestinal medicine (2014). Not Altered. CC.
Primary Hemostasis Step 1: Transient Vasoconstriction of Damaged Vessel A vascular spasm is activated which leads to vasoconstriction. The vascular spasm is mediated by: Neural reflex Contraction of endothelial cells due to endothelin being released from neighboring endothelial cells that…
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