An easy NEJM image challenge today - endoscopic findings of the oesophagus in a patient with coffee ground vomiting. These were the findings on admission (top row) and one week later (bottom row). What’s the name of this syndrome?
Endoscopic dilation of fibrotic Crohn’s strictures provides immediate clinical response, but carries ~5% perforation risk per patient.
I do 1-2 cases monthly and find intra-op fluoroscopy very helpful (stricture length and angulation).
#GITwitter#MedTwittwr#MedEd#Endoscopy
Robotic endoscopy in action! Mounted over the scope, the robot has an arm that is controlled externally, with the ability to rotate, flex and grasp tissue. This enables countertraction to assist with complex resection of neoplastic GI lesions.
𝗦𝘁𝗼𝗻𝗲 𝗥𝗲𝘁𝗿𝗶𝗲𝘃𝗮𝗹 𝗳𝗿𝗼𝗺 𝗡𝗮𝗿𝗿𝗼𝘄 𝗖𝗵𝗼𝗹𝗲𝗱𝗼𝗰𝗵𝗼𝘁𝗼𝗺𝘆
🔴Bring CBD stone trapped in basket to choledochotomy site
🔴Remove scope over wire
🔴Keep tension on basket wire with trapped CBD stone
🔴Introduce choledochotome (or laparoscopic scissors) and minimally extend choledochotomy over large CBD stone
➡️Prevents large choledochotomy
#FOAMed #GITwitter #MedEd #SoMe4Surgery #Surgery