Enteryx(R) Puzzle

Across

1. Recommended total injection volume of the Enteryx(R) solution is at least _____ mL.

4. Enteryx(R) is a form of _____ to alter the compliance of the GE junction.

6. Type of self-limiting body odor noted after the procedure

8. According to a clinical study, there was no statistically significant change in the resting pressure of this sphincter after Enteryx(R) endotherapy.

10. Transient LES relaxation is a dominant cause of this condition.

14. Intramuscular injections may generally appear fluoroscopically as an arc, a ring, or _____ (plural).

15. A side-viewing scope is not used to prevent _____ injections.

17. The Enteryx(R) component EVOH is a biocompatible _____ that precipitates within tissue as a spongy material.

18. Enteryx(R) is injected circumferentially into the _____ layer in the region of the LES.

20. A patient position that may used during the procedure

21. The Enteryx(R) solution becomes _____ when exposed to moisture.

23. Only the supplied syringe, needle, and injector from the Enteryx(R) kit may be used or other supplies may _____.

25. Over time, fibrous _____ of the Enteryx(R) copolymer occurs.

27. Frequency in transient LES relaxation is increased by _____ distention.

28. Individuals with this condition may not benefit from the Enteryx(R) procedure.

30. A patient position that may be used during the procedure

31. During the endotherapy, the needle is deployed at or just below this junction.

Down

1. A vial of Enteryx(R) is _____ until mixed.

2. The recommended diet for 2 to 3 days after the procedure

3. There is a 10% chance of having this problem after the procedure because of a natural foreign body response.

5. A self limiting procedure-related adverse event that may occur

7. An area of discomfort most commonly seen after the procedure that is self-resolving

9. An autoimmune disease of the connective tissue that often affects the smooth muscle region of the esophagus

11. A colorless organic liquid solvent component of the Enteryx (R) solution

12. Endoscopically, the color of a submucosal injection during this endotherapy

13. Before the procedure, the catheter is flushed with a _____ (DMSO).

16. DMSO is a liquid _____, which acts as a carrier for the biocompatible polymer.

17. Twenty-four-hour esophageal monitoring of this value is generally thought to be the most accurate test for gastroesophageal reflux.

19. The size of the LES _____ as the stomach distends.

22. Resistance to reflux correlates with LES pressure and _____ of the LES.

23. Sloughing of the Enteryx(R) copolymer would occur if injected into this esophageal layer.

24. Type of x-ray needed to guide Enteryx(R) injection

26. Antisecretory medication that stops production of stomach acid. (Abbrev.)

27. Enteryx(R) is an injection-based treatment for this disease. (Abbrev.)

29. The number of days that most physicians recommend their patients stay on a PPI after the procedure