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An endoscopy is usually performed first to evaluate the anatomy, and a guidewire is passed into the stomach past the obstruction. This may also be done fluoroscopically. Bougies are again introduced—this time over the guidewire—in sequentially increasing sizes.
The words esophagogastroduodenoscopy (EGD; American English) and oesophagogastroduodenoscopy (OGD; British English; see spelling differences) are pronounced / ɪ ˌ s ɒ f ə ɡ oʊ ˌ ɡ æ s t r oʊ ˌ d (j) uː oʊ d ɪ ˈ n ɒ s k ə p i /. It is also called panendoscopy (PES) and upper GI endoscopy.
An endoclip is a metallic mechanical device used in endoscopy in order to close two mucosal surfaces without the need for surgery and suturing. Its function is similar to a suture in gross surgical applications, as it is used to join together two disjointed surfaces, but, can be applied through the channel of an endoscope under direct visualization
At some point before surgery a health care provider conducts a preoperative assessment to verify that a person is fit and ready for the surgery. [ 1 ] [ 2 ] For surgeries in which a person receives either general or local anesthesia, this assessment may be done either by a doctor or a nurse trained to do the assessment. [ 2 ]
Stretta is a minimally invasive endoscopic procedure for the treatment of gastroesophageal reflux disease (GERD) that delivers radiofrequency energy in the form of electromagnetic waves through electrodes at the end of a catheter to the lower esophageal sphincter (LES) and the gastric cardia – the region of the stomach just below the LES.
Therapeutic endoscopy is the medical term for an endoscopic procedure during which treatment is carried out via the endoscope. This contrasts with diagnostic endoscopy , where the aim of the procedure is purely to visualize a part of the gastrointestinal , respiratory or urinary tract in order to aid diagnosis .
Often treatment for esophageal inlet patch is not necessary. However, when symptoms occur, treatment may consist of ablation. [1] Ablation may be performed with argon plasma coagulation or radiofrequency ablation. [1] When performed by an experienced physician, side effects from ablation appear to be negligible. [1]
FLIP is most often performed immediately following upper endoscopy (EGD). [1] EGD helps to rule out a mechanical obstruction as a cause for symptoms, and also provides an estimation on the distance from the incisors to the EGJ. [1] FLIP uses impedance planimetry to measure the cross sectional area of the esophageal lumen. [1]