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Create a Free AccountProcedures - Hemostasis of GI bleeding
Red dichromatic imaging in peroral endoscopic myotomy: a novel image-enhancing technique
A 40-year-old man presented with a 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). Peroral endoscopic myotomy (POEM) was planned and was performed using the novel Evis X1 endoscopy (Olympus Corporation, Tokyo, Japan) system.Luminal and extraluminal bleeding during EUS-guided double-balloon–occluded gastrojejunostomy bypass in benign gastric outlet obstruction with portal hypertension
A 45-year-old man with longstanding idiopathic chronic pancreatitis and splenic venous thrombosis presented with postprandial vomiting and abdominal fullness 10 months earlier. He received a diagnosis of duodenal narrowing (D1-D2 junction) (Fig. 1) and underwent several sessions of endoscopic balloon dilation, with an ill-sustained response. Surgery was attempted elsewhere; however, gastrojejunostomy was not done because of extensive perigastric collaterals. His laboratory evaluation showed moderate anemia (hemoglobin 10 gm/dL), platelets 1.2 lakhs/mm3, prothrombin time 17 seconds (international normalized ratio 1.28) and normal liver function test results, serum amylase levels, and lipase levels.
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