Achalasia Medical Procedure
Esophagus - Pneumatic Dilation for Achalasia...
The balloon emerges from the gastroesophageal junction which already dilated.
Esophagus - Pneumatic Dilation for Achalasia...
After dilation, the balloon is removed and examined for blood, indicating a tear of the LES and adequate dilation.
Esophagus - Pneumatic Dilation for Achalasia...
There is no consensus on the duration of inflation, we repeated several times until the dilation is performed, bleeding in small quantity is normal.
Esophagus - Pneumatic Dilation for Achalasia...
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...
Esophagus - Pneumatic Dilation for Achalasia...
The gastroesophageal juntion is barely dilated at the first attempt to be dilated.
Esophagus - Pneumatic Dilation for Achalasia...
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....
Esophagus - Pneumatic Dilation for Achalasia...
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...
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...
Achalasia - residual food (11 of 11)
Status after dilatation with balloon Achalasia is the best understood example of an esophageal motility disorder and characterized by esophageal aperistalsis and impaired relaxation of the lower esophageal...
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