消化内镜报告单翻译

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Gastrointestinal Endoscopy Center Report of Chinese PLA General Hospital

Examination findings:

Lift right shoulder:

Enlarge the cavity of esophagus. There is troubled liquor inside and clean it. No obvious circuity in the cavity, no ring, half-moon-shaped or diverticulum, with smooth mucous membrane on the surface. No granular hyperplasia, erosion or anabrosis etc. Texture of blood vessels is clear, and cardia of stomach is closed, with resistance for endoscope to pass. The distance between dentate line to incisor is 40 cm. Inject methylthionine chloride epinephrine normal saline solution under the mucosa at 30 cm away from the incisor. Make an incision of reversed T on the mucosa with lance-shaped knife and peel while injecting, to build a tunnel under the mucosa to 2 cm away under the cardia of stomach. The end of the tunnel is 42 cm away from the incisor. Make a full-thickness resection of muscularis propria at 35 cm away from the incisor with lance-shaped knife to the place 1 cm under the cardia of stomach. During building the tunnel and peeling, lance-shaped knife and electric coagulation forceps are used to treat the exposed vessels, without obvious errhysis. Withdraw the endoscope for observation, cardia of stomach is loose than before and there is a mucosal injury with length of 1.2 cm at the cardia of stomach. No mucosa perforations found through the observation in the tunnel and spray fibrin glue in the tunnel. After suction of air and imbibition, 6 titanium clips are used to fully close the wound entrance. After suction of air, withdraw the endoscope.

Examination diagnosis:

Achalasia of cardia (Ling I type, mucosal classification of grade a)

Peroral Endoscopic Myotomy (POEM)

Reported by: Linghu Enqiang (signature)

Operation assistant: Meng Jiangyun

Examination date: July 28, 2017

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