Live Case 4

A 27-year-old patient struggles with progressive dysphagia and weight loss despite previous treatments. Diagnostic telemetry reveals incomplete treatment of the lower esophageal sphincter, prompting a plan for larger pneumatic dilatation. Concerns about fundoplication effectiveness arise during the endoscopic procedure, where the team marks the sphincter position and prepares for wire placement. A stiff wire is used for balloon dilation, and X-ray confirms improved placement.