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Upper endoscopy is used to evaluate for mechanical causes of obstruction. [2] Endoscopic findings may include a hiatal hernia, esophagitis, strictures, tumors, or masses. [ 2 ] Increased pressure at the LES over time may result in an epiphrenic diverticulum. [ 2 ]
SEMS are used to treat additional complications of cancer, such as tracheoesophageal fistulas from esophageal cancer, [8] and gastric outlet obstruction from stomach, duodenal, or pancreatic cancer. [9] SEMS and self-expanding plastic stents have also been used for non-malignant conditions that cause narrowing or leaks of the esophagus or colon.
Esophagogastroduodenoscopy (EGD) or oesophagogastroduodenoscopy (OGD), also called by various other names, is a diagnostic endoscopic procedure that visualizes the upper part of the gastrointestinal tract down to the duodenum.
The symptoms vary from the severity of the disorder. The most classic sign of AEN is the dark pigmentation of esophageal mucosa in an upper endoscopy, usually viewed as an ulcer or as an infectious disease. [6] Necrosis can be found mostly between the three distals of the esophagus, but stops abruptly at the gastroesophageal junction. [2]
Treatment of the condition depends upon the underlying cause; it can involve antibiotic treatment when Helicobacter pylori is related to an ulcer, [1] endoscopic therapies (such as dilation of the obstruction with balloons or the placement of self-expandable metallic stents), other medical therapies, or surgery to resolve the obstruction.
FLIP is most often performed immediately following upper endoscopy (EGD). [1] EGD helps to rule out a mechanical obstruction as a cause for symptoms, and also provides an estimation on the distance from the incisors to the EGJ. [1] FLIP uses impedance planimetry to measure the cross sectional area of the esophageal lumen. [1]
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