Stents Stink
STUDY: "Spray Cryotherapy Prevents Need for Stents in Esophageal Cancer Patients” was conducted at which institution?
What is Mayo Clinic Rochester?
Temperature of Liquid Nitrogen.
What is -196 Celsius?
What is the dosimetry for benign disease treatment using truFreeze?
What is 20 seconds x2?
The most common type of esophageal cancer in the United States.
What is Adenocarcinoma?
Does liquid nitrogen gas expand slowly or rapidly?
What is rapidly?
In the Mayo Clinic Stent Study: What % of Patients Completely Avoided the Need for a Stent?
What is over 75%?
What is the cryogenic agent used for truFreeze?
What is liquid nitrogen?
True or false: patients may remain on anticoagulation therapy when being treated with truFreeze?
What is true?
truFreeze dosimetry for treating malignant disease
What is 30x3 or 3 cycles of 30 second sprays?
What is the CDT used for?
What is to evacuate the liquid nitrogen gas?
Name 2 complications associated with stents
What are Migration, Pain, Bleeding, or Perforation?
What is the minimum scope channel size needed to perform truFreeze?
What is 2.2?
What are the two scope buttons to not use during a truFreeze procedure?
What are suction and water buttons?
How often can you bring back an esophageal cancer patient for treatment?
What is every 2-3 weeks?
When doing an esophageal truFreeze case, what distal organ is the CDT placed into?
What is the stomach?
True or False: You can use truFreeze when a patient has a stent.
What is true?
When using truFreeze, is the probe contact or non-contact to the tissue?
What is non-contact?
Name 3 disease states that truFreeze can be used for
What is Barrett's (low grade, high grade), esophageal cancer (early stage with/without EMR, palliation of bulky tumor), strictures (benign or cancer), or GAVE?
Name 2 contraindictions to truFreeze
What is pregnancy, food in the stomach (can be removed with rothnet), significant ulceration, mucosal break, new PEG tube, Marfan's Syndrome?
How many liters of gas is produced during one treatment cycle of a truFreeze procedure?
When performing both stent removal and Trufreeze treament, this should happen first.
What is the ablation target area for a truFreeze treatment site?
What is 2x3 cm area?
Name the medical professionals needed in the room to support a truFreeze procedure.
Who are the physician, belly monitor, timer operator, and Anesthesia/CRNA?
Share 2 ways a physician can improve visualization during LN2 Cryotherapy.
What are use a cap, avoid suction/water while spraying, cover CO2/Air, catheter position, defrost?
Abdominal monitoring during a truFreeze procedure helps detect this potential complication
What is abdominal distention?