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Esophagus - Pneumatic Dilation for Achalasia: Final Stage

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Esophagus - Pneumatic Dilation for Achalasia:...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 3574 comments: 0

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Final Status of the Dilation.

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Esophagus - Pneumatic Dilation for Achalasia - Video from the Procedure

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Esophagus - Pneumatic Dilation for Achalasia...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 4127 comments: 0

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More images and video clips.

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Esophagus - Pneumatic Dilation for Achalasia - Balloon Observed from the Stomach

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Esophagus - Pneumatic Dilation for Achalasia...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 4376 comments: 0

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The Balloon is observed from the stomach in retroflexed maneuver, below the Savary guide wire is seen.

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Esophagus - Pneumatic Dilation for Achalasia - Dilated Balloon

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Esophagus - Pneumatic Dilation for Achalasia...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 3727 comments: 0

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The balloon emerges from the gastroesophageal junction which already dilated.

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Esophagus - Pneumatic Dilation for Achalasia - Next Stages of This Procedure

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Esophagus - Pneumatic Dilation for Achalasia...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 3584 comments: 0

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Continuing the procedure.

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Esophagus - Pneumatic Dilation for Achalasia - Status Post Dilation

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Esophagus - Pneumatic Dilation for Achalasia...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 3723 comments: 0

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After dilation, the balloon is removed and examined for blood, indicating a tear of the LES and adequate dilation.

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Esophagus - Pneumatic Dilation for Achalasia - Small Bleeding

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Esophagus - Pneumatic Dilation for Achalasia...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 3277 comments: 0

N/A

There is no consensus on the duration of inflation, we repeated several times until the dilation is performed, bleeding in small quantity is normal.

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Esophagus - Pneumatic Dilation for Achalasia - Placement of the Balloon

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Esophagus - Pneumatic Dilation for Achalasia...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 3751 comments: 0

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The middle of the balloon is generally held about 1 cm above the GE junction as traction of the balloon upon inflation moves the balloon distally into the stomach. Once the balloon is in place, the...

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Esophagus - Pneumatic Dilation for Achalasia - First Attempt

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Esophagus - Pneumatic Dilation for Achalasia...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 3647 comments: 0

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The gastroesophageal juntion is barely dilated at the first attempt to be dilated.

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Esophagus - Pneumatic Dilation for Achalasia - Beginning of the Procedure

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Esophagus - Pneumatic Dilation for Achalasia...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 4718 comments: 0

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Sir Thomas Willis described achalasia in 1672. In 1881, von Mikulicz described the disease as a cardiospasm to indicate that the symptoms were due to a functional problem rather than a mechanical one....

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Esophagus - Pneumatic Dilation for Achalasia - Insertion of the Dilator

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Esophagus - Pneumatic Dilation for Achalasia...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 5931 comments: 0

N/A

As dilation begins, the dilators tend to move into the stomach, and an upward tension should be maintained on the dilator to prevent this movement. The dilator is expanded until the waist is obliterated...

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Achalasia - Guidewire For Esophageal Dilation - 4/4

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Achalasia - Guidewire For Esophageal Dilation...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 4608 comments: 0

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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...

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Achalasia - Guidewire For Esophageal Dilation - 3/4

2

Achalasia - Guidewire For Esophageal Dilation...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 7289 comments: 0

2

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...

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Achalasia - Guidewire For Esophageal Dilation - 2/4

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Achalasia - Guidewire For Esophageal Dilation...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 3674 comments: 0

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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.

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Achalasia - Guidewire For Esophageal Dilation - 1/4

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Achalasia - Guidewire For Esophageal Dilation...

Gastroenterology Atlas

Specialty: Gastroenterology

views: 4026 comments: 0

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

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