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Volume 3, Issue 1, Pages (January 2018)

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Presentation on theme: "Volume 3, Issue 1, Pages (January 2018)"— Presentation transcript:

1 Volume 3, Issue 1, Pages 17-19 (January 2018)
Endoscopic pyloroplasty for adult hypertrophic pyloric stenosis associated with esophageal achalasia  Shingo Ono, MD, Fumiaki Yano, MD, PhD, Masato Hoshino, MD, PhD, Norio Mitsumori, MD, PhD, Kazuki Sumiyama, MD, PhD  VideoGIE  Volume 3, Issue 1, Pages (January 2018) DOI: /j.vgie Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

2 Figure 1 Pyloric stenosis, “cervix sign.”
VideoGIE 2018 3, 17-19DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

3 Figure 2 Incision of the lesser curvature of the stenotic site.
VideoGIE 2018 3, 17-19DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

4 Figure 3 Exposed abnormally thickened inner muscularis.
VideoGIE 2018 3, 17-19DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

5 Figure 4 Incision of the hypertrophic inner muscularis parallel to the axis of the stomach. VideoGIE 2018 3, 17-19DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

6 Figure 5 Dilation of the incised pyloric ring with an 18-mm balloon.
VideoGIE 2018 3, 17-19DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

7 Figure 6 Full opening of the pyloric stenosis after incision and balloon dilation. VideoGIE 2018 3, 17-19DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

8 Figure 7 Transverse closure of the longitudinal incision with hemoclips. VideoGIE 2018 3, 17-19DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

9 Figure 8 Follow-up endoscopic view at 1 month showing that the pylorus remained loosened, with a minor mucosal deformity. VideoGIE 2018 3, 17-19DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions


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