esophageal dilation
Dor fundoplication slipped into the mediastinum...
A 70-year-old patient with a history of having undergone Heller cardiomyotomy and Dor fundoplication by open approach 30 years prior for a diagnosis of Achalasia, 06 months before his current surgery...
Achalasia - Guidewire For 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...
Achalasia - Guidewire For Esophageal Dilation...
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...
Achalasia - Guidewire For Esophageal Dilation...
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.
Achalasia - Guidewire For Esophageal Dilation...
In the image as well as the video clip shows a guide wire is placed through the endoscope.
Achalasia - Endoscopic Features
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...
Achalasia - Tight Gastroesophageal Junction
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...
Reflux Esophagitis & Esophageal Stricture - Hiatal...
The fundus in retroflexion the hiatus hernia is appreciated.
Reflux Esophagitis & Esophageal Stricture - Baloon...
The stenosis was overcome, a hiatal hernia is seen below.
Reflux Esophagitis & Esophageal Stricture - Baloon...
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...
Reflux Esophagitis & Esophageal Stricture - Introducing...
Starting the Esophageal Dilation. A hydrostatic dilating balloon straddled across the stricture. Under direct observation, the stricture will be dilated.
Reflux Esophagitis & Esophageal Stricture - 56-year-old...
A 56 year-old female who presented severe dysphagia, nauseas, vomiting and weight loss of more than 20 pounds. An upper endoscopy was performed, reflux esophagitis grade IV was found with severe peptic...
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