G-POEM for Treatment of Refractory GastroparesisFull
Apr 11 2016 · Endoscopists who are experienced in esophageal per-oral endoscopic myotomy should be able to perform G-POEM because both use similar techniques principles and equipment. The investigators theorize that a subset of patients with refractory gastroparesis diabetic gastroparesis or post-surgical gastroparesis may respond to endoscopic
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Endoscopic evaluation of patients with dyspepsia Results
Oct 01 2004 · The distribution of race differed significantly between the reflux and nonreflux dyspepsia groups. Whites (non-Hispanic) represent 81.7 of the reflux group and 71.8 of the nonreflux group (P < 0.001).Compared with the reflux cohort the group with nonreflux dyspepsia had a higher proportion of blacks (9.8 vs. 6.6 respectively P < 0.001) and Hispanics (13.5 vs. 8.7 respectively P < 0
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Outcomes after Transhiatal Esophagectomies in an Eastern
Surgery alone or associated with radio-chemotherapy (RCT) as a multimodal approach remains the main method of treatment for resectable esophageal cancer (1 2).Right transthoracic esophagectomy (Ivor Lewis technique) and transhiatal esophagectomy (Orringer procedure) are the most widely used standard techniques the superiority of either of these methods is still a subject of intense
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Radiological approach to benign biliary strictures
Jun 01 2015 · Interventional endoscopic ultrasound is a rapidly developing field causing much excitement among endoscopists. Unfortunately in an attempt to push the boundaries aggressive transesophageal and transgastric access is often promoted as "the new way " when collaboration with the radiologist might allow a much safer combined approach. 4 A guidewire placed percutaneously into
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Evaluation and management of benign esophageal strictures
Dec 01 2005 · Benign strictures are best managed by esophageal dilation with acid-suppressing medications if a peptic stricture is suspected. If dysphagia recurs repeat dilation should be performed. There are a variety of interventions for refractory strictures which include injection of intralesional corticosteroids temporary placement of self-expanding
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Esophageal Capsule Endoscopy After Radiofrequency Catheter
Esophageal injury and LAF are considered life-threatening complications that may occur after radiofrequency is applied in the posterior wall of the LA. 2–4 Little information is known regarding the esophageal damage achieved by these lesions because it is logistically difficult to assess the esophagus with standard endoscopic evaluation.
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(PDF) Endoscopic closure of refractory esophageal fistula
The success rate of the pre-soak method was significantly higher than that of the conventional method (90 vs. 25 P = 0.041).Conclusions Endoscopic filling with PGA sheets and fibrin glue is a
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A severe case of refractory esophageal stenosis induced by
Background The prevalence of esophageal stenosis caused by immune checkpoint inhibitors in the context of induced immune mucositis and esophagitis is extremely rare. Case presentation We report the case of a patient with stage IV pulmonary adenocarcinoma treated for 6 months with nivolumab who developed bilateral sterile conjunctivitis followed by oropharyngeal mucositis and esophagitis
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How to Approach a Patient With Refractory or Recurrent
Nov 22 2018 · Endoscopic dilation is the first treatment step for benign esophageal strictures (Figure 2). Two types of dilators are available namely through-the-scope balloon dilators with or without a guidewire and wire-guided bougie dilators.
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Endoscopic Foreign Bodies The Gastrointestinalatlas
A button battery lodged in the esophagus is a true emergency requiring immediate endoscopic removal. Photography Sequence 10 of 12. Rectal foreign bodies are usually the result of sexual misadventure or assault although occasionally a patient will present with an ingested foreign body such as an animal bone that passes through the entire gut
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Anastomotic Stricture Definition After Esophageal Atresia
Jan 01 2021 · Materials and methods A retrospective longitudinal study was conducted on patients who underwent esophageal atresia repair from (ethical committee approval CHPEDAS). SI EN was calculated on the first endoscopy performed as follows ( D − d )/ D where D is the maximum diameter of lumen of the upper esophagus close to the AS
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Gastroesophageal Reflux Disease (GERD) Treatment Devices
The BESS entails insertion of a thin flexible endoscopic tube into the patient s esophagus. The end of the scope holds a tiny device much like a miniature sewing machine which places stitches in 2 different locations near the LES. The suturing material is then tied to
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Upper Gastrointestinal Bleeding (UGIB) Treatment
Aug 12 2019 · Acute gastrointestinal bleeding is a potentially life-threatening abdominal emergency that remains a common cause of hospitalization. Upper gastrointestinal bleeding (UGIB) is defined as bleeding derived from a source proximal to the ligament of Treitz.
Get PriceEsophageal Injury During Radiofrequency Catheter Ablation
The deflectable esophageal device has been reported to be more effective than other probes as it can be placed very close to the ablation site. 10 Alternatively the multi-thermocouple esophageal temperature probe has 3 thermocouples that can measure esophageal temperature at 3 different sites. 10 A recent study of 100 patients undergoing RF
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Full text Management of refractory cirrhotic ascites
Jan 16 2018 · Management of refractory cirrhotic ascites challenges and solutions Hiroshi Fukui Hideto Kawaratani Kosuke Kaji Hiroaki Takaya Hitoshi Yoshiji Department of Gastroenterology Endocrinology and Metabolism Nara Medical University Nara Japan Abstract Among the various risky complications of liver cirrhosis refractory ascites is associated with poor survival of cirrhotics and
Get PriceThieme E-JournalsEndoscopy / Abstract
Endoscopy 2012 44 17 Repici A Vleggaar FP Hassan C. et al. Efficacy and safety of biodegradable stents for refractory benign esophageal strictures the BEST (Biodegradable Esophageal Stent) study. Gastrointest Endosc 2010 72
Get PriceShackelford s Surgery of the Alimentary Tract 2 Volume
Esophageal manometry is the key diagnostic procedure particularly early in the course of the disease. Recent advances in manometric techniques established subtypes of achalasia that can be used to predict response to medical or surgical therapy. Endoscopy and radiology mostly support the diagnosis and help exclude other lesions.
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Guidelines for the Diagnosis and Management of
Those with typical esophageal symptoms should undergo endoscopy principally to exclude non-reflux esophageal disorders such as EoE which can present with esophageal symptoms refractory to PPI and to look for the rare patient with erosive esophagitis
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Outcomes after Transhiatal Esophagectomies in an Eastern
Surgery alone or associated with radio-chemotherapy (RCT) as a multimodal approach remains the main method of treatment for resectable esophageal cancer (1 2).Right transthoracic esophagectomy (Ivor Lewis technique) and transhiatal esophagectomy (Orringer procedure) are the most widely used standard techniques the superiority of either of these methods is still a subject of intense
Get Price
Endoscopic Management of Esophageal Strictures
Siddiqui AA Sarkar A Beltz S et al. Placement of fully covered self-expandable metal stents in patients with locally advanced esophageal cancer before neoadjuvant therapy. Gastrointest Endosc. 201276(1) 44-51. Thomas T Abrams KR Subramanian V et al. Esophageal stents for benign refractory strictures a meta-analysis. Endoscopy.
Get PriceEsophageal balloon tamponade Vs esophageal stent in
In a small-sized randomized controlled trial comparing SEMS with balloon tamponade in patients with refractory esophageal variceal hemorrhage SEMS showed a
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ASGE Understanding Esophageal Dilation
Esophageal dilation is a procedure that allows your doctor to dilate or stretch a narrowed area of your esophagus swallowing tube . Doctors can use various techniques for this procedure. Your doctor might perform the procedure as part of a sedated endoscopy. Alternatively your doctor might apply a local anesthetic spray to the back of your
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Gastroesophageal Reflux Disease Practice Essentials
Oct 16 2020 · Endoscopy reveals that 50 of patients do not have esophagitis. The only way to determine if abnormal reflux is present and if symptoms are actually caused by gastroesophageal reflux is through pH monitoring. Achalasia can present with heartburn. Only esophageal manometry and pH monitoring can be used to distinguish achalasia from GERD.
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Guidelines for the Diagnosis and Management of
Those with typical esophageal symptoms should undergo endoscopy principally to exclude non-reflux esophageal disorders such as EoE which can present with esophageal symptoms refractory to PPI and to look for the rare patient with erosive esophagitis
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Candida infections of the mouth throat and esophagus
About. Candidiasis is an infection caused by a yeast (a type of fungus) called Candida.Candida normally lives on the skin and inside the body in places such as the mouth throat gut and vagina without causing any problems. 1 Sometimes Candida can multiply and cause an infection if the environment inside the mouth throat or esophagus changes in a way that encourages fungal growth.
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Esophageal Injury During Radiofrequency Catheter Ablation
The deflectable esophageal device has been reported to be more effective than other probes as it can be placed very close to the ablation site. 10 Alternatively the multi-thermocouple esophageal temperature probe has 3 thermocouples that can measure esophageal temperature at 3 different sites. 10 A recent study of 100 patients undergoing RF
Get Price
ASGE Understanding Esophageal Dilation
Esophageal dilation is a procedure that allows your doctor to dilate or stretch a narrowed area of your esophagus swallowing tube . Doctors can use various techniques for this procedure. Your doctor might perform the procedure as part of a sedated endoscopy. Alternatively your doctor might apply a local anesthetic spray to the back of your
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(PDF) Outcomes of oesophageal self-dilation for patients
Refractory benign esophageal stricture is defined as an anatomic fibrotic esophageal restriction with inability to achieve dilatation of ≥14 mm or to maintain dilatation for 4 weeks once ≥14
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Evaluation and management of benign esophageal strictures
Dec 01 2005 · Benign strictures are best managed by esophageal dilation with acid-suppressing medications if a peptic stricture is suspected. If dysphagia recurs repeat dilation should be performed. There are a variety of interventions for refractory strictures which include injection of intralesional corticosteroids temporary placement of self-expanding
Get Price
