esophageal dilation

The rationale for dilation is to produce a controlled tear of the lower esophageal sphincter, which will result in relief of distal esophageal obstruction. This is the most effective non-surgical treatment of achalasia.

A Wilson Cook balloon for achalasia with a 30 mm diameter was advanced over the guide wire with the middle of the balloon traversing the GE junction. The goal of therapy for achalasia is to relieve symptoms by eliminating the...

Simple endoscopy is performed and the guidewire is placed in the antrum on the greater curve and the distance from the mouthpiece to the z-line recorded.

In the image as well as the video clip shows a guide wire is placed through the endoscope.

After removing the food and liquid from the esophagus, the characteristic “pop” is felt as the endoscope is passed through the tight lower esophageal sphincter into the stomach. Endoscopic diagnostic criteria _ Early: − Endoscopy...

The GE junction was tight suggestive of motor dysphagia This 33 year old female, 8 years previously underwent an open surgery by chest approach (Heller myotomy) due to Esophageal Achalasia since 2 months complained of progressive...

The fundus in retroflexion the hiatus hernia is appreciated.

A hiatus hernia is observed.

The stenosis was overcome, a hiatal hernia is seen below.

To observe the procedure download the video clip. The goals of therapy for benign esophageal strictures are the relief of dysphagia and the prevention of stricture recurrence. The majority of benign strictures that are found...