Incisional therapy. Refractory esophageal cervical stricture after surgical resection (J.Guilarte. Hospital de Baza)
T05-Dilatación / abril 29, 2018

A new case about the utility of incisional therapy for refractory esophageal stricture after surgical resection (epidermoid cervical esophageal cancer) after two balloon dilatations without any improvement result. Underwent EGD with a 9.8-mm-diameter endoscope (GIF-160 Olympus) in left lateral decubitus position under conscious sedation with propofol. A transparent hood was attached to the tip of the endoscope and an insulated-tip knife (IT-knife nano, Olympus) was introduced through the working channel. Under direct vision we apply radial incision of the stricture area (radial incision and cutting RIC) in combination with balloon dilatation (16 mm) and triamcinolone injection.

Acute variceal bleeding treated with band ligation (J. Martín. Hospital de Valme)

A 55-year-old male patient with alcoholic cirrhosis. Admitted at emergenci room for upper GI bleeding. Treatment with intravenous Somatostine was started and Erythromycin IV was indicated to empty the stomach. Esophageal varices and GOV1 without active bleeding were seen, initially. In the gastric esophagus union, a Mallory weis type lesion was observed and treated with a Hemoclip. Opposite the injury of Mallory Weiss, active bleeding occurs due to rupture of a GOV1. Initially we injected ethoxy-sclerol 1% in the variz without stopping the bleeding, We help with continuous washing with water and measure in cm to the dental arch to locate the lesion. Finally, due to the persistence of the bleeding, we placed two elastic bands.