Efficacy, Safety, Training, and Competency
Study, year Number of patients Follow-up in month Posttreatment reflux, % Efficacy, % Peng, 2017 [25] POEM 13 LHM 18 54.2 No significant difference in GERD POEM 83.3 LHM 83…
Pre-procedural Work-Up and Indications
Fig. 17.1 High-resolution manometry parameters. (Courtesy of the Northwestern Esophageal Center) Once the IRP is determined, the next step in making a manometric diagnosis is to determine the peristaltic activity…
Tools and Accessories for ESD
Solution Cushion durationa Cost Viscosity (Pa.s) Comments Normal saline + + 0.0043 Cost-effective and readily available, but dissipates quickly Hydroxypropyl methylcellulose +++ +++ 0.0022 Relatively inexpensive with a durable lift…
Incisionless Fundoplication (TIF) for Treatment of Gastroesophageal Reflux Disease
Fig. 23.1 The EsophyX® device . (a) The first-generation device; (b) the second-generation device. (Courtesy of EndoGastric Solutions, Inc., Redmond, WA, USA) (a) ©2015 EndoGastric Solutions, Inc. (b) ©2015 EndoGastric…
Endoscopic Therapies for Weight Loss
Fig. 14.1 The left image shows a digital model of the device obstructing the pylorus, and the right image shows intermittent migration that allows chyme to pass at a slower…
Balloons and Aspiration Therapy
Device Device image Characteristics FDA status Reshape Dual Balloon System ReShape Medical, San Clemente, CA Two medical-grade silicone spheres joined by a flexible shaft Each balloon filled with 375–450 ml…
Lesion Recognition and Advanced Imaging Modalities
Advanced imaging modality Pros Cons Conventional chromoendoscopy Detailed surface pit pattern Useful for dysplasia detection in IBD Adds time and cost (dyes) Potential risks with vital stains Lack of validated…
EUS: Bile Duct and Gallbladder
Fig. 28.1 Nomenclature of EUS-BD Transmural procedures involve the creation of a neo-fistula and placement of stent between the bile duct and the stomach or the duodenum. In EUS-guided choledochoduodenostomies…
