Post written by Amol Bapaye, MD (MS), FASGE, FJGES, FISG, MSGEI, from the Shivanand Desai Center for Digestive Disorders, Deenanath Mangeshkar Hospital and Research Center, Pune, India. Our patient had a tight wrap after laparoscopic Heller myotomy and fundoplication for achalasia cardia. Repeat balloon dilatation of the lower esophageal sphincter had failed to provide adequate symptom response. …
Tag: dysphagia
Functional luminal imaging probe assessment of eosinophilic esophagitis stricture followed by optical-haptic dilation with a dilating cap
Post written by Bing Chen, MD, from the Department of Gastroenterology, Hepatology and Nutrition, Geisinger Medical Center, Danville, Pennsylvania, USA. A 44-year-old man who had eosinophilic esophagitis (EoE) for >20 years presented with chronic dysphagia to solid food. During upper endoscopy, a complex stricture was found 22 to 28 cm from the incisors. To gather more …
Difficult intubation of a Zenker’s diverticulum with an acute angle
Post written by Sauid Ishaq, FRCP, from Birmingham City University, Birmingham, United Kingdom. We present this video case report of a 94-year-old woman referred with oropharyngeal dysphagia and previously failed intubation. Barium swallow had revealed Zenker’s diverticulum (ZD) and cricopharyngeal hypertrophy (CPH). Conventional intubation was unsuccessful despite multiple attempts. Eventually, a transparent cap was attached …
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Fully covered non-foreshortening esophageal stent
Kulwinder S. Dua, MD, FASGE, FACP, FRCP from the Department of Gastroenterology and Hepatology at the Medical College of Wisconsin in Milwaukee, Wisconsin, USA reports on his Original Article "Efficacy and safety of a new fully covered self-expandable non-foreshortening metal esophageal stent." The primary focus of this study was to evaluate the safety and efficacy …
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Esophageal intramural pseudodiverticulosis
Vishal Ghevariya, MD from the Icahn School of Medicine at Mount Sinai in Elmhurst, New York presents this VideoGIE case "Esophageal intramural pseudodiverticulosis." Esophageal intramural pseudodiverticulosis (EIPD) is a condition characterized by the development of numerous epithelium lined cystic foci or diverticulum within the esophageal wall. Progressive dysphagia and chest discomfort are the most common …
Endoscopic removal of obstructing sutures
Jennifer M. Kolb from the Icahn School of Medicine at Mount Sinai in New York shares this video case "Endoscopic removal of obstructing sutures using argon plasma coagulation" from the VideoGIE section. We present two unusual cases of persistent dysphagia, months after Ivor Lewis esophagectomy for esophageal adenocarcinoma, caused by retained sutures and staples blocking …
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