Gastroenterology

A 60 year-old female, with longstanding gastroesophageal reflux disease. One year previously the patient underwent peroral intraluminal gastroplicature. The image and the video clip display three endoscopic gastroplictures....

Status post APC.

APC is a method of contact-free high-frequency current coagulation.

Treatment of short segment of Barrett´s esophagus with APC of high-frequency current coagulation. There has been a recent focus on "short segment" Barrett's esophagus--intestinal metaplasia in the distal esophagus

Traditionally, Barrett's esophagus was defined as the presence of columnar mucosa extending >/= 3 cm into the tubular esophagus. This definition has evolved into the presence of any specialized columnar epithelium in the esophagus...

A small remnant of the tongues. A new session of ablative therapy with Argon Plasma coagulator was performed.

A follow up endoscopy. 18 months after the therapy with argon plasma coagulator (APC) The tongues has been shortened.

Some biopsies were taken with jumbo forceps. The use of the larger 3.4 mm forceps results in larger biopsies than the standard 2.4 mm biopsy forceps, and they are therefore best for diagnostic purposes. The larger specimens obtained...

Chromoendoscopy using Lugol's solution. Lugol's solution is an absorptive staining. Lugol chromoendoscopy has been used to detect early esophageal cancer, which is difficult to recognize by routine observation without dye staining....

Chromoendoscopy using Lugol's solution. Staining of the mucosa with Lugol's solution during endoscopy has been suggested to identify early cancer and dysplasia that may improve prognosis. It has been shown that 40-60% of patients...