Atlas of High-Resolution Manometry, Impedance, and pH Monitoring by Sarvee Moosavi & Ali Rezaie & Mark Pimentel & Nipaporn Pichetshote

Author:Sarvee Moosavi & Ali Rezaie & Mark Pimentel & Nipaporn Pichetshote
Language: eng
Format: epub
ISBN: 9783030272418
Publisher: Springer International Publishing

Figure 2.68High-resolution esophageal manometry after sleeve gastrectomy. A, This image does not show the entire esophageal peristalsis, as the catheter was advanced 20 cm caudally into the remnant stomach. The asterisk shows the end of the primary esophageal peristalsis. There is pressurization in the proximal remnant stomach after entry of the bolus, owing to the stapled line of the sleeve gastrectomy. This is followed by a segment with higher pressure (double asterisks), a finding that corresponds to an angulation along the sleeve gastrectomy staple line, which was further verified on the barium study. B, The barium swallow in the same patient shows the sharp angulation along the distal sleeve gastrectomy staple line. The patient may present with regurgitation, nausea, vomiting, and associated weight loss. Endoluminal stenting could be considered to temporize symptoms, with more definitive surgical management to follow, such as Roux-en-Y

Download

Copyright Disclaimer:
This site does not store any files on its server. We only index and link to content provided by other sites. Please contact the content providers to delete copyright contents if any and email us, we'll remove relevant links or contents immediately.