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Related Concept Videos

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

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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:
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Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

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Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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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.
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Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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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...
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Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Updated: Feb 26, 2026

Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
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Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma

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Is Endoscopy Really Necessary for Placing Intragastric Balloons?

Elisabeth M H Mathus-Vliegen1

  • 1Academic Medical Centre, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, the Netherlands. e.mathus-vliegen@amc.uva.nl.

Obesity Surgery
|July 12, 2017
PubMed
Summary

Screening endoscopy before gastric balloon placement for weight loss may not be necessary. A detailed patient history is sufficient to identify contraindications and ensure safe balloon therapy, reducing unnecessary procedures.

Keywords:
Adverse eventsEndoscopyIntragastric balloon therapyIntragastric balloonsObesityWeight loss treatment

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Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
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Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

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Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
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Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
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Area of Science:

  • Bariatric surgery
  • Gastroenterology
  • Medical device technology

Background:

  • Gastric balloons are a weight loss tool historically requiring screening endoscopy.
  • The diagnostic yield and clinical utility of pre-placement screening endoscopy for gastric balloons remain unexamined.
  • This study evaluates the necessity of screening endoscopy versus alternative assessment methods.

Purpose of the Study:

  • To assess the utility and yield of screening endoscopy in patients undergoing gastric balloon placement.
  • To evaluate the safety and outcomes of gastric balloon placement without prior endoscopy.
  • To compare balloon intolerance and removal findings between patients with and without screening endoscopy.

Main Methods:

  • Two patient cohorts were analyzed: Cohort 1 (n=253) underwent screening endoscopy before or during balloon placement.
  • Cohort 2 (n=50) received balloons under fluoroscopic guidance without preceding endoscopy.
  • Balloon intolerance and findings from removal endoscopy were recorded for both groups.

Main Results:

  • Screening endoscopy identified contraindications in only two patients and insignificant hiatal hernias in eleven.
  • In the non-endoscopy group, three patients experienced balloon intolerance, and one had a hiatal hernia and esophagitis upon removal.
  • Overall, 25 out of 194 patients (12.9%) had intolerance or relevant findings on removal endoscopy; screening endoscopy findings did not correlate with these outcomes.

Conclusions:

  • A thorough patient history is adequate for identifying contraindications to gastric balloon therapy.
  • Gastric balloons can be safely inserted using a careful history alone, potentially obviating the need for screening endoscopy.
  • Screening endoscopy appears to have limited value in predicting balloon intolerance or complications.