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Endoscopic Procedures I: Esophagogastroduodenoscopy

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
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Endoscopic Procedures V: ERCP

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...

Esophageal Strictures-II: Clinical Features and Management

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...

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Related Experiment Video

Updated: May 8, 2026

ADSC-sheet Transplantation to Prevent Stricture after Extended Esophageal Endoscopic Submucosal Dissection

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Published on: February 10, 2017

Laproendoscopic single site oesophageal diverticulectomy.

Chinnusamy Palanivelu¹, Anirudh Vij, Subbiya Rajapandian

¹Department of GI Surgery, GEM Hospital, Coimbatore, Tamil Nadu, India.

Journal of Minimal Access Surgery

|September 11, 2013

Summary

This study reports the first case of successful esophageal diverticulectomy using a laparoendoscopic single-site approach for a lower esophageal diverticulum. This minimally invasive technique offers a viable option for treating symptomatic epiphrenic diverticula.

Keywords:

Epiphrenic diverticulum LESS laparoscopic oesophageal surgery oesophageal diverticulectomy single incision laparoscopy

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An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

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Published on: April 17, 2020

Area of Science:

Gastroenterology
Minimally Invasive Surgery
Surgical Innovation

Background:

Epiphrenic diverticula are rare lower esophageal disorders, often asymptomatic.
Symptomatic cases typically require esophageal diverticulectomy with myotomy, potentially with an antireflux procedure.
Laparoscopic approaches are increasingly utilized for this surgery.

Observation:

A 57-year-old male presented with dysphagia and regurgitation due to a lower esophageal diverticulum.
Diagnostic workup included endoscopy, barium swallow, CT, manometry, and pH study, confirming the diagnosis.
The patient underwent a laparoscopic transhiatal esophageal diverticulectomy with myotomy via a laparoendoscopic single-site technique.

Findings:

The laparoendoscopic single-site procedure was completed in 160 minutes without intraoperative complications.
Postoperative recovery was uneventful, with the patient discharged on day 4 and remaining asymptomatic.
Esophageal diverticulectomy is feasible using the laparoendoscopic single-site approach with adequate expertise.

Implications:

This case demonstrates the feasibility and safety of the laparoendoscopic single-site approach for esophageal diverticulectomy.
This technique may offer advantages in terms of cosmesis and potentially reduced postoperative pain.
Further research and experience are warranted to establish the long-term outcomes and broader applicability of this approach.