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Interventional Endoscopy

Interventional Digestive Endoscopy at the University Hsopital of Martinique encompasses numerous endoscopic procedures, combining both imaging and endoscopic techniques, with a very short In hospital stay. These procedures aim at diagnosing and treating various digestive, hepatobiliary and pancreatic diseases, while avoiding more invasive approaches such as surgery

Stricture Dilation

  • A stricture or stenosis refers to a narrowing in the gastrointestinal tract, responsible for various symptoms, depending on the severity of the stricture (from abdominal pain and bloating to vomiting and severe malnutrition)
  • Dilation requires specialized balloons stretching the narrowed area during an endoscopy. Severe strictures may require several dilations over a short or mid term period
  • Another specific disease called Oesophageal Achalasia is associating oesophageal motility disorders and hypertonicity of the lower oesophageal sphincter. The most common form is primary achalasia, although some cases can occur secondary to certain conditions, such as oesophageal cancer or Chagas disease (an infectious disease common in South America, with numerous cases described in French Guyane). Its diagnosis requires various techniques, in particular gastroscopy and oesophageal manometry. Although no specific cure exists, several symptomatic treatments, mainly lower oesophageal dilation can be proposed to all Caribbean patients

Enteral Stenting

  • Enteral stenting is the process of placing a stent within the gastrointestinal tract, using an endoscope, under general anesthesia
  • A stent is an expandable wire tube, inserted through an endoscope under X-ray guidance
  • The procedure is performed to relieve symptomatic obstructions in the upper or lower gastrointestinal tract, mainly due to cancer of the stomach, the proximal small intestine, or the colon. It allows to avoid more invasive surgical procedures

Endoscopic Retrograde Cholangiopancreatography (ERCP)

  • This advanced endoscopic technique, coupled with X-ray imaging, allows the examination of the biliary and pancreatic ducts.
  • A catheter is introduced inside the targeted duct, through the endoscope, under X-ray guidance
  • ERCP is used to remove stones in the main bile duct, to diagnose and treat stenosis of the bile ducts, with balloon dilations or stent placements

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