Esophagogastroduodenoscopy (EGD) is the most widely used method to investigate esophageal diseases with excellent accuracy. Till date it has been considered the gold standard for the diagnosis and surveillance of esophageal diseases including interventional procedures. It has mainly been used for diagnosing barret’s esophagus, reflux esophagitis, esophageal varices and esophageal cancers. However the EGD is expansive and uncomfortable to the patient along with a small potential risk for complications. It involves the risk of conscious sedation along with loss of productivity. It has more complication rate in cases of cirrhosis. Next step was the development of a safer and more comfortable method to view the mucosa of esophagus thus came …show more content…
First the study was done on healthy volunteers which are themselves capsule endoscopists. Subsequently study was done of patients with suspected esophageal disease to compare the feasibility, efficacy, quality and patient discomfort between the two methods. Feasibility and the quality of the test has been compares in al the four main diagnostic indications of EGD and this has been shown the table format as well as compared with the pictures.
This article is on a very commonly performed procedure EGD, all over the world which has changed its role from mainly diagnostic procedure in the early years to a therapeutic procedure. Authors have presented the feasibility data compares to EGD. More than feasibility they have emphasized that SSCE is more comfortable to the patient. It has less complication rate as compared to EGD. It has equal quality of the images of the esophagus and rather better image quality than EGD in certain diseases. Capsule endoscopy has shown moderate efficacy in lower end esophageal images because of no control over the movement of the capsule. SSCE has overcome the difficulty by attaching a string to the capsule with which up and down movement of the capsule can be controlled ad lib to improve the focus on the area of interest. It has many other advantages:
• It is a controlled method for esophagoscopy
• No sleeve or string Was broken in the study
• More comfortable to the patient
•
These scenarios is how miss Melisa Kain visited her physician, Doctor summer following persisted heartburn. The doctor ordered an esophageal motility study and 24 hour esophageal PH study to be done in the curative Gastrointestinal Laboratory. The nurse called the centralized service and scheduled the tests.
(percutaneous endoscopic gastrotomy) tube installed. An esophageal foreign body can result in severe complications such
Capsule endoscopy helps your doctor evaluate the small intestine. This part of the bowel cannot be reached by traditional upper endoscopy or by colonoscopy. The most common reason for doing capsule endoscopy is to search for a cause of bleeding from the small intestine. It may also be useful for detecting polyps, inflammatory bowel disease (Crohn’s disease), ulcers, and tumors of the small intestine. (para. 3)
The Endophagogastroduodenoscopy is an endoscopic test that dilates the esophagus, stomach and small intestine. This procedure is to diagnose and treat the gastrointestinal (GI) tract. When getting this procedure the physician would place a endoscope from your mouth to your throat with a long blendable tube that appears to be a video camera. A light is attached to visualize the upper part of the GI tract down to the video images.
While I was aware of fiberoptic endoscopic evaluations of swallowing (FEES), I had never experienced one. What an experience it was. Integrating the knowledge previously learned in class, to a useful examination tool in our field was in incredible learning experience. I believe the entire class would agree with that statement. It provided me with a unique learning experience.
Commonly known as heartburn or reflux, is a condition where reflux of the gastric content into the oesophagus leads to symptoms which significantly impact a person's quality of life. Gastroesophageal reflux disease gerd is the most prevalent acid related disorder and is associated with significant impairment of health-related quality of life. Gastroesophageal reflux disease gerd occurs when acid and food in the stomach back up into the esophagus.Gerd often occurs when the lower muscle (sphincter) of the esophagus does not close properly. The sphincter normally opens to let food into the stomach. It then closes to keep food and stomach acid in the stomach. If the sphincter does not close properly, stomach acid and food back up (reflux) into the esophagus. The following may increase your risk for gerd. Gerd may be associated with several extra esophageal syndromes such as chronic cough, asthma, laryngitis, oropharyngeal ulceration and dental erosions. Available evidence indicates that therapy response rates in gerd are related to the degree of acid suppression achieved. Having an appropriate discussion with a physician is key to understanding the condition, available treatment options and the degree to which acid suppression can be achieved.
Introduction Anastomotic dehiscence in fore-gut surgery is a significant life threatening condition which associated with 25-50 % morbidity rate after intra-thoracic resection for esophageal cancer (1,2) Even though, there have decreased in recent year but remains high mortality rate at 20% (3). The recent studies have reported overall leak rate about 3-6 % comprising of anastomosis dehiscence, staple gastric conduit and secondary to gastric conduit necrosis (1,4,5) Because of individual manifestations, understanding about the cause and pathophysiologic healing of anastomotic dehiscence and prompt diagnosis and treatment may reduce mortality and improve
Endoscopy. In this test, a flexible telescope is inserted down your throat to look at your esophagus and your stomach.
• The health care provider will watch the barium flow through your esophagus using a type of X-ray that allows images to be viewed on a monitor in a movie-like sequence (fluoroscopy). X-ray images will also be stored for later viewing.
The primary endpoint is a successful outcome in term of reducing symptom, as measured by GERD-HRQL ( Gastroesophageal
Firstly, in hopes of understanding what esophageal cancer is, one must first understand what the esophagus is. The esophagus is a muscular tube connecting your throat to your stomach. It’s primary purpose it to transport food to the stomach and is usually between 10 – 13 inches long. Furthermore, the esophagus is lined with smooth muscle tissue, which causes contracts without conscious thought, moving the food along to the
Anastomotic dehiscence in fore-gut surgery is significant life threatening condition which associated with 25-50 % morbidity rate after intra-thoracic resection for esophageal cancer (1,2) Even though, there have decreased in recently year but remains high mortality rate as 20%(3). The recently studies report overall leak rate about 3-6 % comprising of anastomosis dehiscence, staple gastric conduit and secondary to gastric conduit necrosis (1,4,5) Because of individual manifestations, understanding about cause and pathophysiologic healing of anastomotic dehiscence and promptly diagnosis and treatment may reduce mortality and improve outcome. Over the past decades, the operative surgery was considered as a standard treatment. However,
The advancement of our technology today has lead to its effective use and application to the medical field. One effective and purposeful application of the advancement of technology is the process of endoscopy, which is used to diagnose and examine the conditions of the gastrointestinal tract of the patents. It has been reported that this process is done by inserting an 8mm tube through the mouth, with a camera at one end, and images are shown on nearby monitor, allowing the medics to carefully guide it
All ERCP procedures were performed by experienced endoscopists using the Pentax lateral view endoscope ED-3440T and ED-3485T. Patients were placed in prone position and sedated with midazolam and propofol in conjunction with a topical anesthetic applied to the posterior oropharynx under the supervision of an anesthesiologist. EPLBD was done with a balloon dilator (controlled radial expansion [CRE] dilation balloon; maximum diameter 15 or 18 mm; length 5 cm; Microvasive, Boston Scientific Corp., Ireland) between 10 and 16 mm in diameter without preceding ES. After diagnostic cholangiography, a guidewire (0.025_0.035inch, Boston Scientific Corp., Natick, MA, USA) was passed through the diagnostic cannula into the bile duct. The balloon dilator
into subgroup A and B respectively. Grading of esophageal varices and PHG was done. Serum free T3 (FT3), free T4 and TSH levels