Abdominal Key

Fig. 7.1 (a, b) Demonstration of luminal narrowing secondary to peptic strictures after Heller myotomy. (c, d) Demonstration of luminal narrowing secondary to achalasic sphincter Fig. 7.2 Patient status after…

Fig. 3.1 GI endoscope used for POEM Overtubes Overtubes have the ability to facilitate luminal access during POEM and potentially limit oropharyngeal trauma with repeated esophageal intubation throughout a procedure….

Fig. 6.1 Barium esophagram demonstrating each type of achalasia. Type 1 achalasia (a) with dilated esophagus and bird’s beak appearance at the lower esophageal sphincter (LES). Type II achalasia (b)…

Fig. 5.1 Gastroscope with overtube (arrow) placed The required supplies for each step are listed in Table 5.1 with ancillary equipment described in Table 5.2. A clear endoscopic cap that…

Fig. 15.1 Initial longitudinal mucosal incision is performed following submucosal injection of a lifting solution.The submucosal space stained with the dilute methylene blue solution can be seen Fig. 15.2 The…

Fig. 12.1 Eckardt score However, patients’ symptoms following POEM may not necessarily be a reliable indicator of functional improvement after treatment as symptom resolution can occur without a significant improvement…

Fig. 16.1 Endoscopic interventions with submucosal navigation. (1) NOTES natural orifice transluminal surgery (SEMF valve approach). (2) Endoscopic myotomies—POEM peroral endoscopic myotomy, POP peroral pyloroplasty. (3) Endoscopic tumor resection—STER submucosal…

Fig. 14.1 GERD-HRQL. Scale: 0 = no symptoms. 1 = dymptoms noticeable, but not bothersome. 2 = symptoms noticeable and bothersome, but not every day. 3 = symptoms bothersome every day. 4 = symptoms affect daily activities. 5 = symptoms are incapacitating,…