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Esophageal Cases 8

Dr. Khanh Do-Cong Pham, FASGE, FESGE

​Department of Medicine

Haukeland University Hospital

Bergen, Norway

Procedure Information


Scope: GIF-EZ1500, GIF-H190N

Case: Eosinophilic esophagitis (EoE)

Organ: Esophagus

Patient Information: M, 38

Medical History: More than 10 years history of intermittent dysphagia

1. EoE in WLI

#GIF-EZ1500 WLI

The mucosa appears normal in the proximal esophagus in white light

2. EoE with TXI mode 1

#GIF-EZ1500 TXI mode 1

The mucosa appears normal in the proximal esophagus with TXI

3. EoE stricture a

#GIF-EZ1500 WLI

Stricture in the mid-esophagus.

4. EoE Stricture b

#GIF-EZ1500 WLI

Stricture in the mid-esophagus not passable with a standard gastroscope

5. EoE stricture with the ultra-slim endoscope in WLI

#GIF-H190N WLI

Proximal to the stricture with the ultra-slim endoscope (GIF-H190N) in white light

6. EoE stricture with the ultra-slim endoscope in NBI

#GIF-H190N NBI

Inside the stricture with the ultra slim endoscope (GIF-H190N) with NBI

7. EoE stricture with the ultra-slim endoscope in TXI mode 1

#TXI mode 1

Inside the stricture with an ultra slim endoscope (GIF-H190N) with TXI

8. EoE stricture with the ultra-slim endoscope in RDI mode

#RDI

Inside the stricture with an ultra slim endoscope (GIF-H190N) with RDI

9. Mucosal tear after dilatation

#GIF-EZ1500 WLI

The stricture after dilatation to 12mm. Mucosal trear can be seen, but no perforation.

10. The stricture after dilatation

#GIF-EZ1500 WLI

Passing the stricture with the GIF-EZ1500 gastroscope

11. The stricture after dilatation in TXI mode 1 and Near Focus

#GIF-EZ1500 TXI monde 1 #under water

Details of the stricture can be seen underwater, Near Focus, and TXI

12. The stricture after dilatation in Near Focus and Electric zoom

#GIF-EZ1500 WLI #underwater #Near Focus #x1.6 Electric Zoom

Details of the stricture seen underwater, Near Focus, and x1.6 electric zoom.

Case video

The GIF-EZ1500 gastroscope was used initially to examine the esophagus. A stricture was found in the mid-esophagus, preventing the further insertion. The mucosa proximally to the stricture was normal. We changed to an ultra-slim endoscope for inspection, passed the stricture, and dilated it to 12 mm. Repeated gastroscopy with the GIF-EZ1500 gastroscope could pass the stricture. The video demonstrates the different optical modes on the EVIS X1 with the different endoscopes.

* Specifications, design and accessories are subject to change without any notice or obligation on the part of the manufacturer

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