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Pneumatic evl device

Manufactured by Sumitomo Bakelite
Sourced in Japan

The Pneumatic EVL device is a specialized laboratory equipment designed to perform essential functions within a controlled environment. The core function of this device is to precisely manage the flow and pressure of gases, facilitating various experimental and analytical processes. The Pneumatic EVL device is a versatile tool that enables researchers and scientists to maintain optimal conditions for their work.

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2 protocols using pneumatic evl device

1

Endoscopic Resection Using EMR-L Technique

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Endoscopic resection was performed under intravenous sedation (flunitrazepam and pethidine). A conventional endoscope (GIF-Q260J; Olympus, Tokyo, Japan) with a disposable 23-gauge injection needle catheter (Olympus) was used. After submucosal injection of glycerol (10% glycerol and 5% fructose; Chugai Pharmaceutical, Tokyo, Japan) with a small amount of indigo carmine and 0.1% epinephrine, EMR-L was performed by aspirating the lesion into the ligation device (pneumatic EVL device; Sumitomo Bakelite, Tokyo, Japan), deploying the elastic band, and performing snare resection (SD-210L-10; Olympus, Tokyo, Japan) below the elastic band using a blended electrosurgical current (Endo Cut Q, effect 3, cut duration 1, cut interval 3, VIO 300D; ERBE Elektromedizin, Tübingen, Germany). Mucosal defects remaining after EMR-L were closed using conventional hemoclips (EZ ClipTM; Olympus) to prevent any delayed bleeding or perforation (Fig. 1).
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2

Endoscopic Variceal Ligation and Rescue Therapies

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Following the emergency endoscopy to identify the bleeding points, a flexible overtube (Sumitomo Bakelite, Tokyo, Japan) was inserted, and the esophageal varices were ligated using a pneumatic EVL device (Sumitomo Bakelite). Ligation was initially applied at the bleeding point and performed with 1–3 rubber bands. After the ligation was completed, the ligation sites were sprayed with water and suctioned to check for persisting bleeding. Rescue therapies (e.g., a Sengstaken-Blakemore balloon tamponade [27 (link)]) were applied when necessary. Initial success was defined as bleeding cessation and vital sign stabilization.
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