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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Esophageal Strictures-II: Clinical Features and Management01:26

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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.
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Esophageal Strictures-I: Introduction01:30

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Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
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The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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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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Endoscopic Procedures V: ERCP01:26

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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.
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Endoscopic Procedures II: Colonoscopy01:25

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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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Related Experiment Video

Updated: Jul 25, 2025

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
09:40

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Endoscopic approaches to small intestinal strictures.

Munish Ashat1, Rami El-Abiad1, Mouen A Khashab2

  • 1Division of Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, Iowa City, Iowa.

Current Opinion in Gastroenterology
|June 30, 2023
PubMed
Summary

Endoscopic approaches like EUS-gastroenterostomy offer effective alternatives for gastric outlet obstruction, especially for recurrent benign or malignant strictures. These methods show comparable success to surgery with fewer complications and shorter hospital stays.

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Area of Science:

  • Gastroenterology
  • Endoscopic Surgery

Background:

  • Gastric outlet obstruction (GOO) presents with benign or malignant causes.
  • Traditional treatments include balloon dilation for benign strictures and metallic stents for malignant ones.
  • Lumen-apposing metal stents have advanced enteral stenting and surgical gastroenterostomies.

Approach:

  • This review discusses endoscopic strategies for small bowel strictures.
  • It examines the evidence supporting various endoscopic practices.
  • Focuses on newer techniques like endoscopic ultrasound-guided gastroenterostomy (EUS-GE).

Key Points:

  • Enteral stenting is for poor surgical candidates with <6-month life expectancy; surgical gastroenterostomy (S-GE) is for longer survival.
  • EUS-gastroenterostomy demonstrates comparable technical and clinical success to S-GE.
  • EUS-GE has a lower adverse event rate and shorter hospital stay than S-GE.

Conclusions:

  • EUS-GE is an effective, well-tolerated option for recurrent benign strictures and malignant GOO.
  • Individualized therapy considering prognosis, patient preference, and local expertise is crucial.
  • Endoscopic interventions are evolving for GOO management.