Speaker Name: Sarah Elrod
Category: (Speaker/Oral Presentation)
Track name: Innovation & Technology in Gastroenterology
Research interest: endoscopic techniques, interventional endoscopy
S. Elrod, DO1 , S. Tzarnas, MD2 and G. Gagliardi, MD3
Biography: Sarah Elrod completed her medical degree at LUCOM in Virginia, USA. She is currently pursuing her residency in Internal Medicine at Jefferson-Abington Hospital and plans on pursuing a fellowship in Gastroenterology.
Global Journal of Gastroenterology & Hepatology Research [GJGHR]
Introduction: This case examines a patient presenting with a food bolus and was diagnosed with Eosinophilic Esophagitis during endoscopy. The procedure was technically complicated due to a narrowed esophagus and required use of a therapeutic bronchoscope to complete the procedure.
Case Report: A 30-year-old male with no medical history presented with dysphagia, when this happened previously, he was able to eventually swallow the bolus. The patient was taken for EGD which showed concentric ringing and fibrosis (Figure 1) concerning for Eosinophilic Esophagitis. At 30cc the scope could not be passed further due to extensive narrowing; balloon dilation was attempted multiple times, but the scope was still unable to progress to the bolus. A therapeutic bronchoscope was introduced, a large syringe was used to insufflate through the instrument port. The bolus was visualized, and the bolus was successfully advanced into the stomach
Discussion: While ultra-thin endoscopy scopes have been introduced, they are difficult to find outside of large university hospitals. In many hospitals this means that a choice must be made in the endoscopy suite when even after multiple dilations the standard size scope still cannot be passed through a strictured esophagus: either stop the procedure and transfer the patient to a larger center or innovate with what resources are available[1,2]. In this scenario a therapeutic bronchoscope, which is generally 3 mm smaller in diameter than the standard endoscope, was able to pass through the narrowing and since it is compatible with the endoscopic instruments the needs equipment was available to complete the procedure[3].
Keywords: Eosinophilic Esophagitis, Food bolus, Endoscopic Technique
References: [1] M. Dougherty et al. (2017) Gastrointestinal Endoscopy, 86, 581-591 [2]A. J. Lucendo et al. (2018) Gastroenterology, 34, 226-232 [3] BF-XT190 (2021) Olympus User Manual
Tags
Crohn’s and Colitis Journals | Gastroenterology & Hepatology Journals | Gastroenterology Journals | Research Gastroenterology and Hepatology Journals | Clinical and Experimental Gastroenterology Journals | Gastrointestinal Endoscopy Journals | Therapeutic Advances in Gastroenterology Journals | Colorectal Disease: clinical and molecular gastroenterology and surgery Journals | Inflammatory Bowel Diseases Journals | Expert Review of Gastroenterology & Hepatology Journals | Clinical Colorectal Journals | Cancer Gut Journals | Endoscopy Journals | Hepatitis B Annual Journals | Hepato-biliary-Pancreatic Sciences Journals | Medical Bulletin Journals
Upcoming Conference:
World Gastroenterology, IBD, Hepatology Conference & Exhibition
Visit here: https://gastroenterology.utilitarianconferences.com/
Submit your abstract/research paper here: https://gastroenterology.utilitarianconferences.com/submit-abstract
Attend as a Speaker/Poster/Delegate In-person kindly register here: https://gastroenterology.utilitarianconferences.com/registration
Attend as a Speaker/Poster/Delegate virtually kindly register: https://gastroenterology.utilitarianconferences.com/virtual-registration