Peroral endoscopic myotomy (POEM) - Identifying Deep vessels with RDI Mode2
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2024-1-24 17:38
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Dr. D Nageshwar Reddy, AIG Hospitals, Hyderabad, India
RDI (Red dichromatic imaging) clearly showing vessels in deep mucosa or submucosa compared with white-light imaging
RDI enhances the visibility of deep blood vessels and bleeding sources. It leads to early identification of bleeding points and quicker hemostasis. It also reduces the stress experienced by the endoscopist performing POEM. However, prospective studies looking into the utility of RDI in POEM are required.
Scope : GIF-EZ1500
Case : Peroral endoscopic myotomy (POEM)
Organ : Esophagus
Patient Information : M, 40
Medical History : 1-year history of difficulty in swallowing liquids and solids. His Eckhart’s score was 6 of 12. EGD showed dilated esophagus with liquid stasis and mild resistance noted across the gastroesophageal junction. Esophageal manometry showed elevated integrated relaxation pressure with panesophageal pressurization (achalasia cardia type II)
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