Peroral endoscopic myotomy (POEM) - Avoiding Deep vessels Bleeding with RDI

2024-1-25 17:35

0 bullet chats

Unauthorized reproduction is prohibited

Dr. D Nageshwar Reddy, AIG Hospitals, Hyderabad, India RDI mode 1 and mode 2 were used during POEM. Mucosal incision and entry into the submucosal tunnel are crucial steps in POEM. To achieve a clean mucosal incision, it is desirable to avoid deep blood vessels during the cut. Mode 2 was used to identify the deep blood vessels after local injection of saline solution with indigo carmine. 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)

Comments 0

Please to post a comment~

Olympus_Medical_Americas

DRLv2