dysphagia

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Chronic Infection of Hiatal Prosthetic Mesh with...

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Chronic infection of hiatal prosthetic mesh with abscess presenting as severe dysphagia was presented at the SS38: Foregut Session 5 session by Jordan Taylor, MD on Saturday, April 20, 2024 during the...

Advanced Pulmonary Neoplasia with Esophageal...

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REVISED ON-THE-SPOT STRATEGY: "ONE-STENT, TWO-PROBLEMS". Advanced pulmonary neoplasia with esophageal compression. The pre-procedure plan was conservative (stent the thoracic stricture...

STER Procedure for Esophageal Leiomyoma

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Clinical video case: patient presented with on & off dysphagia for dry solids. Diagnostic upper GI endoscopy revealed a submucosal soft tissue swelling in the midesophagus causing luminal narrowing. Submucus...

Incidental Mediastinal Lipoma During Laparoscopic...

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Lipomas in the mediastinum are very rare. They only constitute about 1.6–2.3% of all primary mediastinal tumors. When they grow large, they may exert a mass effect and compress adjacent structures...

Long Myotomy for Achalasia

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Laparoscopic Heller myotomy (LHM) is indeed considered the gold standard treatment for achalasia. Studies indicate that it effectively relieves dysphagia in over 90% of patients, with minimal complications...

Antireflux Surgery: Intraabdominal Esophageal...

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In anti-reflux surgery (such as Nissen, Toupet, Dor), a key principle is that at least 2.5–3 cm of the esophagus should lie intra-abdominally, without tension, after complete mediastinal mobilization...

Laparoscopic Nissen Fundoplication

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Medical treatment with proton pump inhibitors (PPIs) heals esophagitis and suppresses heartburn in over 90% of patients. Despite the fact that effective maintenance therapies do exist, patients often...

Lap Hellers Cardiomyotomy for Achalasia Cardia

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Achalasia Cardia is an uncommon disease and most of the times diagnosed serendipitously by primary physician due to the same reason. Commonly presents with dysphagia to solids and liquids, halitosis,...

Robotic Heller's Cardiomyotomy & Dor...

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This is a video demonstration of a robotic heller's cardiomyotomy and Dor fundoplication performed on a 42 year old female who presented with dysphagia and was diagnosed to have type 2 achalasia. 

Esophageal SEMS Placement - Tips and Tricks

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Esophageal SEMS placement. technical execution - tips and tricks during the procedure Step 1: The Diagnostic Endoscopy Trick: Use a thin-caliber endoscope (pediatric gastroscope or dedicated ultra-slim...

PEG and Esophageal Stent Insertion for Advanced...

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PEG placement and esophageal stent insertion in a 78-year-old patient with advanced pulmonary neoplasia and dysphagia. Procedure Steps: PEG Placement: 1. Perform transillumination to identify the appropriate...

Management of End-stage Achalasia (Sigmoid Achalasia)...

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Achalasia is a rare esophageal motility disorder causing dysphagia and weight loss. Severe cases may present with a significantly dilated and sigmoid-shaped esophagus (sigmoid achalasia). Traditionally,...

POEM (22 cm Long Myotomy) for Distal (Diffuse)...

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Clinical video case: 96 years old man with long standing history of Dysphagia, chest pain, vomiting and weight loss, diagnosed as distal (diffuse) esophageal spasm (DES ), underwent POEM.  

Dysphagia with Weight Loss

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Dysphagia accompanied by weight loss in a 79-year-old patient. Oral contrast opacification: stricture identified in the cardial region. Endoscopy findings: neoplastic stricture located in the lower...

Esophageal Diverticulum in a Case of Achalasia

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Surgical video case: among causes of esophageal diverticulum: - Weakness in the esophagus wall - Inflammation and damage to the esophagus lining, called esophagitis - Sphincter disorders - Esophageal...

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