gastroenterology videos
Esophageal Achalasia (7 of 7)
Achalasia. Retroflexed view of the fundus shows a cardias so tight, the retroflex maneuver can not be performed into the esophagus.
Esophageal Achalasia (6 of 7)
Esophageal Achalasia. Sir Thomas Willis first described achalasia in 1674. Willis successfully treated a patient by dilating the LES with a cork-tipped whalebone. Not until 1929 did Hurt and Rake...
Esophageal Achalasia (5 of 7)
Esophageal Achalasia. Maneuvering with the biopsy forceps troughs the cardias and taken the biopsy to rule out malignancy.
Esophageal Achalasia (4 of 7)
Achalasia. Monilias are observed. Pathophysiology: The exact etiology of achalasia is not known. The most widely accepted current theories implicate autoimmune disorders, infectious diseases,...
Esophageal Achalasia (3 of 7)
Achalasia It took forceful maneuvering of the endoscope to overcome the sphincter. Pathophysiologic studies of achalasia have primarily identified neural lesion involving loss of ganglion cell within...
Esophageal Achalasia (2 of 7)
Esophageal Achalasia Image shows cardias, the cardias proved to be so tight its appears more like a narrows pylorus. The patient with achalasia classically present with progressive dysphagia for...
Esophageal Achalasia (1 of 7)
A 49 year-old female who have been complained of solid food dysphagia and liquids intermittently, weight loss, retroesternal fullness. The image and video display liquid and food retained as a consequence...
Esophageal Achalasia (16 of 16)
A endoscopic follow up five days after the dilatation. We underline the simplicity, safety and effectiveness of pneumatic dilatation under direct visualization it should be used as first-line treatment...
Esophageal Achalasia (15 of 16)
Final status of the dilatation of the cardias. Best long term results are obtained if the lower esophageal sphincter pressure can be reduced below 10 mmHg.
Esophageal Achalasia (14 of 16)
More forceful maneuver to perform dilation Forceful balloon dilation was the mainstay of treatment for achalasia for many years. In this procedure, a pneumatic balloon is passed down the esophagus,...
Esophageal Achalasia (13 of 16)
Neuromuscular disorder of the esophagus characterized by a lack of reflex relaxation of the distal esophageal sphincter, normally induced by swallowing. Achalasia produces a functional obstruction...
Esophageal Achalasia (12 of 16)
Achalasia Dilator. The downside is that this balloon is much larger than the balloon dilators normally used to dilate an esophageal stricture or tight hiatal hernia. It has to be big enough to actually...
Esophageal Achalasia (11 of 16)
The video clip exhibit more maneuvers. Achalasia is an esophageal motor disorder characterized by increased lower esophageal sphincter (LES) pressure, diminished-to-absent peristalsis in the distal...
Esophageal Achalasia (9 of 16)
The image and the video clip display the balloon in retroflexed image.
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Gottumukkala Raju
Professor
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Ahmad Hormati
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Gastroenterology Atlas
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EUS - ENDO
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SAGES - Society of American Gastrointestinal and Endoscopic Surgeons
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American Association for Primary Care Endoscopy
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Colonscopy Quiz by Dr. Raju
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