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PEG achalasia cannula cap dysphagia endoscopic clinical case endoscopy esophageal dilation esophagoscopy gastrostomy interventional gastroenterology leak tube
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An Anastomotic Recto-colic Leak

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An anastomotic recto-colic leakTwo previous endoscopies were unable to detect the leak. The use of a cap, cannula, and guidewire enables accurate localization of the leak.  

Percutaneous Endoscopic Gastrostomy - PEG (3...

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Endoscopic view of the wire being grasped with the snare. The basic elements common to all of these techniques are: (1) gastric insufflation to bring the stomach into apposition to the abdominal wall;...

Achalasia - Guidewire For Esophageal Dilation...

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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...

Achalasia - Guidewire For Esophageal Dilation...

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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...

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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.

Achalasia - Guidewire For Esophageal Dilation...

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

Achalasia - Endoscopic Features

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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

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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...

The Proximal Esophageal Stricture Margin - Endoscopic...

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Deployed a standard guidewire into the stomach. Then, withdrew the endoscope and repositioned it near the guidewire to visualize the proximal stricture margin.

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