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…
Clips and Glues
Span (mm) MRI compatible Rotatable Can be reopened Resolution Clip1 11 Up to 3 Tesla, 2500 Gauss/cm Yes Up to 5 times Resolution 3601 11 Up to 3 Tesla,…
Therapy of Post-Bariatric Surgery Strictures, Leaks, and Fistulas
Fig. 15.1 Self-expanding metallic stents (SEMS). (a) Commercially available stents. (b) Radiographic image of deployed stents It is important to point out that stent deployment requires suitable anatomy and sometimes…