reflux

Adenocarcinoma LPR Obesity Schatzki VUR antrum bariatric surgery clinical cases surgery endoscopy esophagitis esophagus fundoplication gastroesophageal gastroscopy gerd hernia surgery hiatal hernia laparoscopy nissen nissen fundoplication reimplantation surgical education surgical training surgical video case traction
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Intraluminal Endoscopic Suturing - Creation of...

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In the image and the video clip you can see the placement of the titanium clip through the clamp performing the first gastroplicature in this patient.

Intraluminal Endoscopic Suturing - Visualization...

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The threads are observed which approaching the tissues.

Intraluminal Endoscopic Suturing - Assessment...

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Endoscopic suturing causes modest but significant improvement in LES function. First, there is a significant reduction in the triggering of transient LES relaxations (tLESRs) and second, there is a...

Intraluminal Endoscopic Suturing - 62 Years-Old...

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A 62 year-old female who has been presenting gastroesophageal reflux for 8 years. A hernia of the hiatus with an extended defect is observed which affects the closing mechanism and contributes to...

Flexible Endoscopic Suturing - Presence of Knot...

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The knot is observed, the threads and the titanium clip The first stich is finish of this form increase the pressure of the inferior gastroesophageal sphincter, this procedure is simple, two to four...

Flexible Endoscopic Suturing - Withdrawal of...

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In this step this clamp is withdrawn, the hole of the clamp is observed where the titanium knot is applied and the threads are cut, also this clamp is equipped to cut threads.

Flexible Endoscopic Suturing - Performing the...

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The next step is to perform the knot. The titanium knot mechanically fastens suture together and cuts away excess suture. And those threads position close to the mouth and out from the patient are...

Flexible Endoscopic Suturing - Visualization...

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The image and the video are displaying both threads that were observed as four, This happened because they were tractioned outwards. In the image show two threads that previously were four, but after...

Flexible Endoscopic Suturing - Converting Four...

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We look the 4 threads that convert to two with applied traction that is direct out and both tissues gathered together.

Flexible Endoscopic Suturing - Preparing the...

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We prepared the second suture one centimeter away from the first one. In the image observed the process after the tissue which we deliver one suture, with this device. We observed the threads through...

Flexible Endoscopic Suturing - Loosing the Tissues

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The image and the video clip display to loosen the tissues, certain maneuvers are observed, we prepared the second suture one centimeter away from the first one. In the image observed the process after...

Flexible Endoscopic Suturing Device, Part 2

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The ESD Flexible Endoscopic Suturing device. It uses the same principal of tightening the junction between the esophagus and the stomach by the placement of sutures. This device has been approved by...

Flexible Endoscopic Suturing Device, Part 1

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Suturing System and standard video endoscopy, sutures are placed in the upper part of the stomach at or just below the LES. Two stitches can be placed and tied together to create a pleat near the...

Flexible Endoscopic Suturing - 35 Years-Old Male

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Endoscopic Suturing due to chronic gastroesophageal reflux. The image and the video display a retroflexed hiatal hernia. A 35 year-old male, who has been suffering of suffering refracting Gastro Esophageal...

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