Upper Gastrointestinal Endoscopy: Advanced Endoscopic Techniques

2018 ◽  
Author(s):  
Jeffrey Marks ◽  
Hahn Soe-Lin ◽  
Boxiang Jiang
Keyword(s):  
Gastrointestinal Endoscopy ◽  
Metal Stents ◽  
Upper Gastrointestinal Endoscopy ◽  
Upper Endoscopy ◽  
Endoscopic Suturing ◽  
Submucosal Tunneling Endoscopic Resection ◽  
Endoscopic Techniques ◽  
Additional Imaging ◽  
Suturing Techniques ◽  
Upper Gastrointestinal

Advanced endoscopy techniques use the same principles as basic upper endoscopy but involve more complex maneuvers and additional imaging modalities. Most endoscopists after mastering basic upper endoscopy will pursue additional training to become adept with advanced endoscopy techniques. This chapter reviews these techniques. This review contains 9 images, 8 tables, 1 video and 26 references. Key words: endoscopic submucosal dissection, organ sparing endoscopic surgery, submucosal tunneling endoscopic resection, endoluminal bariatric procedures, over the scope clips, endoscopic suturing techniques, endoluminal lumen apposing metal stents

scholarly journals EVALUATION OF UPPER GASTROINTESTINAL ENDOSCOPY IN PATIENTS UNDERGOING BARIATRIC SURGERY

2015 ◽  
Vol 28 (suppl 1) ◽  
pp. 39-42 ◽  
Author(s):  
Maurício Saab ASSEF ◽  
Tiago Torres MELO ◽  
Osvaldo ARAKI ◽  
Fábio MARIONI
Keyword(s):  
Bariatric Surgery ◽  
Gastrointestinal Endoscopy ◽  
Control Group ◽  
Upper Gastrointestinal Endoscopy ◽  
Upper Endoscopy ◽  
Obese Patients ◽  
Endoscopic Findings ◽  
Asymptomatic Patients ◽  
Significant Difference ◽  
Upper Gastrointestinal

Background: Obesity has become epidemic, and is associated with greater morbidity and mortality. Treatment is multidisciplinary. Surgical treatment is a consistent resource in severe obesity. The indication of preoperative upper gastrointestinal endoscopy in asymptomatic patients is controversial; however, most studies recommend its implementation in all patients. Aim: To analyze endoscopic performance in patients who were in preoperative for bariatric surgery and compare them with control group. Method: A series of 35 obese patients in preoperative period for bariatric surgery compared with a control group of 30 patients submitted to upper endoscopy. There were analyzed clinical and endoscopic data. Results: The mean age of the group of patients was 43.54 years. Most individuals in the group of patients were female with median BMI of 47.26kg/m2and in control group 24.21 kg/m2. The majority of patients were asymptomatic. Upper endoscopy was altered in 81.25% of asymptomatic patients. Endoscopic findings in the patient group were 57.1% resulting from peptic ulcer disease and 34.3% associated with GERD. The analysis of endoscopic findings in patients showed no significant difference in relation of the control group. The prevalence of H. pylori infection was 60% in patients. Conclusion: It is recommended that the upper endoscopy should be made in all patients in the preoperative bariatric surgery period, although the degree of obesity is not related to a greater number of endoscopic findings. Obese patients do not have more endoscopic findings that non-obese individuals.

scholarly journals Gastroscopic evaluation of patients with dyspeptic symptoms with incidental finding of cholelithiasis

2017 ◽  
Vol 4 (2) ◽  
pp. 677
Author(s):  
Minakshi Gadahire ◽  
Ashwin Pai ◽  
Mohan Joshi
Keyword(s):  
Teaching Hospital ◽  
Gastrointestinal Endoscopy ◽  
Gastrointestinal Disease ◽  
Incidental Finding ◽  
Endoscopic Finding ◽  
Upper Gastrointestinal Endoscopy ◽  
Upper Endoscopy ◽  
Gall Stones ◽  
Dyspeptic Symptoms ◽  
Upper Gastrointestinal

Background: Patients with dyspeptic symptoms are subjected to ultra-sonography by many practitioners and post for Cholecystectomy, if there is a finding of cholelithiasis. Many of these patients continue to have post operatively similar pain which they experienced before the cholecystectomy surgery. This made us think of doing upper gastrointestinal endoscopy to find any upper gastrointestinal disease in oesophagus, stomach or duodenum. So that if we get any positive endoscopic finding we can treat those conditions before posting the patients for cholecystectomy. Aim of the study was to study outcome of upper gastrointestinal endoscopy in patient with dyspeptic symptoms having gall stones, to evaluate whether there is any other cause of dyspepsia apart from cholelithiasis.Methods: This study was conducted at a single teaching hospital in Mumbai over a period of 3 years. Prospectively, 60 patients were studied for upper endoscopy findings associated with dyspepsia in a patient of cholelithiasis.Results: Abnormal findings of upper gastrointestinal findings on endoscopy were seen in 65% of patients.Conclusions: All Patients with dyspepsia should undergo upper gastrointestinal endoscopy before subjecting to any other radiological investigations.

scholarly journals Endoscopic Insufflation–Induced Gastric Barotrauma during Percutaneous Endoscopic Gastrostomy: A Report of Three Patients and Review of Literature

2021 ◽  
Vol 12 (02) ◽  
pp. 103-106
Author(s):  
Avnish Kumar Seth ◽  
Rinkesh Kumar Bansal
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Gastrointestinal Endoscopy ◽  
Gastroesophageal Junction ◽  
Upper Gastrointestinal Endoscopy ◽  
Proximal Stomach ◽  
Endoscopic Gastrostomy ◽  
Lesser Curvature ◽  
Upper Gastrointestinal ◽  
New Onset

Abstract Background We report three patients with endoscopic insufflation–induced gastric barotrauma (EIGB) during upper gastrointestinal endoscopy (UGIE) for percutaneous endoscopic gastrostomy (PEG). A definition and classification of EIGB is proposed. Materials and Methods Records of patients undergoing UGIE over 7 years (April 2013–March 2020) were reviewed. Patients who developed new onset of bleeding or petechial spots in proximal stomach, in an area previously documented to be normal during the same endoscopic procedure, were studied. Results New onset of bleeding or petechial spots in proximal stomach occurred in 3/286 (0.1%) patients undergoing PEG and in none of the 19,323 other UGIE procedures during the study period. All patients were men with median age 76 years (range 68–80 years), with no coagulopathy. Aspirin and apixaban were discontinued 1 week and 3 days prior to the procedure. Fresh blood was noted in the stomach at a median of 275 seconds (range 130–340) seconds after commencement of endoscopy. At retroflexion, multiple linear mucosal breaks of up to 3 cm, with oozing of blood, were noted in the proximal stomach along the lesser curvature, close to the gastroesophageal junction in two patients. In the third patient, multiple petechial spots were noticed in the fundus. The plan for PEG was abandoned and the stomach deflated by endoscopic suction. There was no subsequent hematemesis, melena, or drop in hemoglobin. One week later, repeat UGIE in the first two patients revealed multiple healing linear ulcers of 1 to 3 cm in the lesser curvature and PEG was performed. Conclusion Overinsufflation over a short duration during UGIE may lead to EIGB. Early detection is key and in the absence gastric perforation, patients can be managed conservatively.

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