Choledocoduodenostomy orifice at Endoscopic view.
The is the forward and reflexed view (Retrovision maneuver)in a patient demonstrating Nissen fundoplication for a sliding hiatal hernia. Black arrows show the wraps that are sutured together.
Example of hudge sliding hiatal(esophageal) hernia on Endoscopy.This is the forward and reflexed view (Retrovision maneuver)in a patient demonstrating sliding hiatal hernia.
Radiograph showing a percutaneous endoscopic gastrostomy tube with a jejunal tube extension. Note the clip anchoring the distal end of the J tube. The patient also has a closed suction drain from a prior operation.
Rotating wheels on the headpiece of the endoscope control tip deflection. Instruments may be passed through an access port, which is kept capped when not in use (to prevent loss of insufflation and splashing of fluids).
A. Internal reflection is assured by cladding each fiber with a coating of high refractive index. Virtually all light is reflected back and forth within the fiber with little loss. B. The image produced by a fiberoptic endoscope is composed of a multitude