Peroral endoscopic myotomy (POEM) - Identifying Deep vessels for mucosal incision with RDI
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2024-1-23 17:14
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Peroral endoscopic myotomy (POEM) - Identifying Deep vessels with RDI Mode2
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Prof. Philip Chiu, Dept of Surgery, Faculty of Medicine, The Chinese University of Hong Kong
The new EVIS X1 imaging system enhanced diagnostic and therapeutic ability for endoscopic treatment of early gastrointestinal neoplasia. In therapeutic procedures, the new introduction of RDI with amber light allowed better visualization of blood vessels and bleeding point during therapeutic endoscopy. I recommend the use of RDI during the following procedural steps during therapeutic endoscopy:
Per Oral Endoscopic Myotomy (POEM)
Mucosal incision : To allow recognition of submucosal vessel and avoid bleeding from incising on large submucosal vessel
Recognition of spindle venules at the gastric cardia : this will define the location of end of submucosal tunnel and myotomy
Scope : GIF-EZ1500
Case : POEM
Organ : Esophagus
Patient Information : N/A
Medical History :Achalasia
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