Endoflip Jeopardy!

Endoflip system

100

What are the main components of Flip Technology?

Endoflip 1.0 & Endoflip 2.0 (w topography)

200

! Daily Double ! 

Which system is required for topography, real-time measurements over time and screening for swallowing/motility disorders?

300

In both 1.0 and 2.0, what are the additional components required to properly use the system?

Catheter, pre-test cylinder, EGD procedure materials (eg gastroscope, bite block, water, lube)

400

What are the two different Endoflip catheters and what are their respective indications (DX or Tx)?

EF-325N: therapeutic

EF-322N: diagnostic

500

What are the motility patterns that can be interpreted with 2.0?

RAC’s (antegrade) = normal motility

RRC’s (retrograde) = abnormal

Absent (no pattern) = abnormal

Other (spastic pattern) = abnormal

Protocols/White Paper(s)

100

What surgical procedures are discussed in “Operating Room Protocol”?

1. Hiatal hernia/fundo

2. LINX

3. Heller Myotomy

4. POEM

200

According to the “Motility Assessment Protocol”, what would be the expected disease state in a patient with RAC’s and DI of 0-2 mm²/mmHg?

EGJOO with normal contractile response

300

What catheter does the Operating Room Protocol suggest for a fundoplication?

EF-325N

400

What is the suggested range of catheter fill volume in Heller Myotomy & Hiatal Hernia?

30-40ml

500

What would be the expected DI in a patient with Repetitive Antegrade Contractions (RRC’s) and a retrograde contractile response with increased EGJ distensibility?

> 9

POEM

100

What does POEM stand for?

Per-Oral Endoscopic Myotomy

200

What are the two distinct times in a POEM using Endoflip technology that a measurement should be made?

After intubation

After myotomy is complete, prior to closure of mucostomy

300

At what event was the first Canadian POEM with Endoflip used?

TO Live

400

What is the primary patient diagnosis resulting a POEM procedure?

Achalasia

500

What is a common side-effect of POEM procedures which could be improved/eliminated with use of Endoflip?

GERD

AGA Clinical Update

100

List of one the primary contributing clinicians on this paper?

Hirano, Pandolfino, Boeckxstaens

200

How many Best Practice(s)/Advice were listed in the paper?

5

300

! Bonus !

! Bonus !

400

What are the 3 procedural indications reviewed in this paper?

Achalasia, GERD, EoE

500

! Daily Double !

Identify any 1 of the 5 best practices advice as identified by the AGA institute

EF Catheters

100

What is the length of EF-325N?

8cm

200

How may impedance sensors does the EF-322N catheter have?

16

300

What is the distance between the EF-325N balloon sensors?

0.5cm

400

What does RAC mean?

Repetitive Antegrade Contractions

500

What to do if system loses power and there’s more than 10 ml of fluid in catheter?

Once power is restored the machine will recognize, press CONTINUE, and it will resume from point of disruption