Endoscopic esophageal septotomy

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Presentation transcript:

Endoscopic esophageal septotomy Sergio Rubel C, MD, Fernando Fluxa G, MD, Pablo Fabre, MD, Mara Ferraris, MD, Antonieta Ramirez, MD VideoGIE Volume 3, Issue 11, Pages 341-342 (November 2018) DOI: 10.1016/j.vgie.2017.12.009 Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 EGD in a 61-year-old man who had experienced dysphagia for 7 months without accompanying symptoms or comorbidities. EGD view shows, 23 cm from bite block, esophageal septum 3 cm long. VideoGIE 2018 3, 341-342DOI: (10.1016/j.vgie.2017.12.009) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Placement of hemoclips are placed at the ends of the septum. Particular care is taken to avoid deeper esophageal walls. VideoGIE 2018 3, 341-342DOI: (10.1016/j.vgie.2017.12.009) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 Septum is sectioned between the clips with flush knife. The placement of hemoclips in distal segments of the septum is repeated by repeating the section with the flush knife. VideoGIE 2018 3, 341-342DOI: (10.1016/j.vgie.2017.12.009) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Hemostasis control and complete section of septum. The initial use of clips was done because high vascularization of the septum was suspected. VideoGIE 2018 3, 341-342DOI: (10.1016/j.vgie.2017.12.009) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions