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Published in: Surgical Endoscopy 5/2016

01-05-2016 | Video

Esophagogastric junction distensibility measured by a functional lumen imaging probe with incremental gastric myotomy lengths in achalasia

Authors: Rym El Khoury, Joel M. Sternbach, Ezra N. Teitelbaum, Nathaniel J. Soper, Eric S. Hungness

Published in: Surgical Endoscopy | Issue 5/2016

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Excerpt

Limited physiologic evidence exists to guide the optimal distal extent of the gastric myotomy in the surgical treatment of achalasia [1]. The functional lumen imaging probe (FLIP) [2] is a novel physiologic tool that uses impedance planimetry to measure esophagogastric junction (EGJ) distensibility [3] (defined as the cross-sectional area at the EGJ over the intra-balloon pressure). Here, the intra-operative use of FLIP is demonstrated during peroral endoscopic myotomy (POEM) and laparoscopic Heller myotomy (LHM). …
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Literature
1.
go back to reference Ilczyszyn A, Hamaoui K, Cartwright J et al (2015) Intraoperative distensibility measurement during laparoscopic Heller’s myotomy for achalasia may reduce the myotomy length without compromising patient outcomes. Dis Esophagus. doi:10.1111/dote.12343. [Epub ahead of print] Ilczyszyn A, Hamaoui K, Cartwright J et al (2015) Intraoperative distensibility measurement during laparoscopic Heller’s myotomy for achalasia may reduce the myotomy length without compromising patient outcomes. Dis Esophagus. doi:10.​1111/​dote.​12343. [Epub ahead of print]
2.
go back to reference McMahon BP, Frøkjaer JB, Kunwald P et al (2007) The functional lumen imaging probe (FLIP) for evaluation of the esophagogastric junction. Am J Physiol Gastrointest Liver Physiol 292(1):G377–G384CrossRefPubMed McMahon BP, Frøkjaer JB, Kunwald P et al (2007) The functional lumen imaging probe (FLIP) for evaluation of the esophagogastric junction. Am J Physiol Gastrointest Liver Physiol 292(1):G377–G384CrossRefPubMed
Metadata
Title
Esophagogastric junction distensibility measured by a functional lumen imaging probe with incremental gastric myotomy lengths in achalasia
Authors
Rym El Khoury
Joel M. Sternbach
Ezra N. Teitelbaum
Nathaniel J. Soper
Eric S. Hungness
Publication date
01-05-2016
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 5/2016
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-015-4437-x

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