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Argon plasma coagulation

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https://www.readbyqxmd.com/read/29681929/efficacy-and-safety-of-argon-plasma-coagulation-for-hemorrhagic-chronic-radiation-proctopathy-a-systematic-review
#1
REVIEW
Yanan Peng, Haizhou Wang, Juerong Feng, Shilin Fang, Meng Zhang, Fan Wang, Ying Chang, Xianyan Shi, Qiu Zhao, Jing Liu
Hemorrhagic chronic radiation proctopathy (CRP) is a common complication after pelvic radiotherapy in patients with prostate or gynecological cancers. This systematic review was conducted to evaluate the efficacy and safety of argon plasma coagulation (APC) in treating hemorrhagic CRP. The databases of PubMed, Embase, and Cochrane Library were searched for related studies from inception to July 2017. Finally, 33 studies were identified with a total of 821 hemorrhagic CRP patients. After APC treatment, hemoglobin levels increased from 7...
2018: Gastroenterology Research and Practice
https://www.readbyqxmd.com/read/29627948/efficacy-of-utilizing-argon-plasma-coagulation-for-weight-regain-in-roux-en-y-gastric-bypass-patients-a-multi-center-study
#2
Rena C Moon, Andre F Teixeira, Manoel Galvao Neto, Natan Zundel, Bruno Queiroz Sander, Flavio Mitidieri Ramos, Felipe Matz, Giorgio A Baretta, Luiz Gustavo de Quadros, Eduardo Grecco, Thiago Souza, Sergio A Barrichello, Admar Concon Filho, Eduardo Nobuyuki Usuy, Artagnan Menezes Barbosa de Amorim, Muhammad A Jawad
BACKGROUND: Endoscopic approaches exist for targeting weight regain after Roux-en-Y gastric bypass (RYGB), including endoscopic suturing, clipping, and sclerotherapy. Argon plasma coagulation (APC) is a noncontact electrocoagulation method, and when used in RYGB patients, it has shown reduction in the diameter of the gastrojejunal anastomosis. OBJECTIVES: To study the effectiveness of APC for weight regain in terms of weight loss for RYGB patients, from eight bariatric centers...
April 8, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29625506/factors-associated-with-delayed-bleeding-after-resection-of-large-nonpedunculated-colorectal-polyps
#3
Timothy R Elliott, Zacharias P Tsiamoulos, Siwan Thomas-Gibson, Noriko Suzuki, Leonidas A Bourikas, Ailsa Hart, Paul Bassett, Brian P Saunders
BACKGROUND:  Delayed bleeding is the most common significant complication after piecemeal endoscopic mucosal resection (p-EMR) of large nonpedunculated colorectal polyps (NPCPs). Risk factors for delayed bleeding are incompletely defined. We aimed to determine risk factors for delayed bleeding following p-EMR. METHODS:  Data were analyzed from a prospective tertiary center audit of patients with NPCPs ≥ 20 mm who underwent p-EMR between 2010 and 2012...
April 6, 2018: Endoscopy
https://www.readbyqxmd.com/read/29521682/small-bowel-bleeding-cause-and-the-role-of-endoscopy-and-medical-therapy
#4
Stefania Chetcuti Zammit, Reena Sidhu
PURPOSE OF REVIEW: The objective is to provide an overview on the cause of small bowel bleeding. We discuss the role of small bowel endoscopy in the management of small bowel bleeding and provide an outline of pharmacotherapy that can be additionally beneficial. RECENT FINDINGS: Small bowel capsule endoscopy (SBCE) is the initial diagnostic investigation of choice in small bowel bleeding. Computed tomography (CT) can be helpful in the context of small bowel tumours...
May 2018: Current Opinion in Gastroenterology
https://www.readbyqxmd.com/read/29517984/single-center-experience-of-a-new-endoscopic-clip-in-managing-nonvariceal-upper-gastrointestinal-bleeding
#5
Praneet Wander, Daniel Castaneda, Lionel D'Souza, Simi Singh, Sam Serouya, Ana I Velazquez, Rifat Mamun, Rebecca Voaklander, Petros Benias, David L Carr-Locke
BACKGROUND: To assess the safety and efficacy of the Instinct clip in the acute endoscopic treatment of upper gastrointestinal bleeding (UGIB). MATERIALS AND METHODS: This is the first large series reporting this clip in achieving hemostasis. A retrospective descriptive chart review was performed on patients presenting with recent overt GI bleeding treated with endoclip therapy at Mount Sinai Beth Israel Medical Center between May 2013 and January 2016. Results are expressed in absolute numbers, percentages, and trends...
April 2018: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/29497685/radiofrequency-ablation-rfa-vs-argon-plasma-coagulation-apc-for-the-management-of-gastric-antral-vascular-ectasia-gave-in-patients-with-and-without-cirrhosis-results-from-a-retrospective-analysis-of-a-large-cohort-of-patients-treated-at-a-single-center
#6
Paul St Romain, Amanda Boyd, Jiayin Zheng, Shein-Chung Chow, Rebecca Burbridge, Daniel Wild
Introduction and study aims:  Gastric antral vascular ectasia (GAVE) is a mucosal abnormality associated with multiple conditions, most notably cirrhosis and systemic sclerosis, that causes indolent gastrointestinal bleeding. It is primarily managed with endoscopic therapy. Traditionally, GAVE is endoscopically ablated using argon plasma coagulation (APC) but radiofrequency ablation (RFA) is emerging as an alternative modality. No prior comparison of the 2 modalities has been published...
March 2018: Endoscopy International Open
https://www.readbyqxmd.com/read/29433710/endobronchial-ablative-therapies
#7
REVIEW
Semra Bilaçeroğlu
Endobronchial ablative therapies, such as mechanical debulking, laser therapy, electrocautery, argon plasma coagulation, cryotherapy, brachytherapy, photodynamic therapy, microdebrider bronchoscopy, resector balloon deobstruction, and intratumoral chemotherapy, are performed through a rigid or flexible bronchoscope in palliating or curing symptomatic malignant and benign airway lesions to improve symptoms, quality of life, and survival. Technical factors together with patient- and lesion-specific features determine the therapy of choice, as each therapy is different in capacity, limitation, and complications...
March 2018: Clinics in Chest Medicine
https://www.readbyqxmd.com/read/29423433/adenoma-recurrence-after-endoscopic-mucosal-resection-propensity-score-analysis-of-old-and-new-colonoscopes-and-sydney-recurrence-tool-implementation
#8
Daniela Guerrero Vinsard, Pujan Kandel, Lady Katherine Mejia Perez, Russell L Bingham, Ryan J Lennon, Timothy A Woodward, Victoria Gomez, Massimo Raimondo, Ernest P Bouras, Michael B Wallace
Background and study aims:  Risk factors for colorectal adenoma recurrence after endoscopic mucosal resection (EMR) have been well documented. We assessed the efficacy of the newer 190 colonoscope versus the standard 180 colonoscope for complete resection of lateral spreading lesions. Patients and methods:  A single-center, retrospective study of patients who underwent EMR with Olympus 180 or 190 colonoscopes from January 1, 2010 to September 30, 2016. We included patients with lesions ≥ 20 mm and surveillance colonoscopy (SC1) after index EMR...
February 2018: Endoscopy International Open
https://www.readbyqxmd.com/read/29383264/acute-duodenal-intramural-hematoma-complicated-by-acute-pancreatitis-a-rare-complication-of-endoscopic-epinephrine-injection-therapy
#9
Emmanuel Ofori, Tagore Sunkara, Eric Then, Febin John, Vinaya Gaduputi
Intramural duodenal hematoma (IDH) is a rare complication in endoscopic management of ulcer hemorrhage. Usually noted in cases of blunt abdominal trauma, non-traumatic IDHs have been reported in individuals on anticoagulation, with blood disorders, pancreatic diseases and in endoscopic procedures such as biopsy, sclerotherapy and argon plasma coagulation. Patients may be asymptomatic or present with acute blood loss anemia, abdominal pain or vomiting. We report a case of an 83-year-old man with melena and syncope who underwent endoscopy for bleeding ulcer control and subsequently developed acute pancreatitis due to an acute IDH...
January 2018: Oxford Medical Case Reports
https://www.readbyqxmd.com/read/29362925/a-prospective-randomized-experimental-study-to-investigate-the-peritoneal-adhesion-formation-after-waterjet-injection-and-argon-plasma-coagulation-hybridapc-in-a-rat-model
#10
Bernhard Kraemer, Marcus Scharpf, Simon Keckstein, Julia Dippon, Christos Tsaousidis, Kristin Brunecker, Markus Dominik Enderle, Alexander Neugebauer, Daniela Nuessle, Falko Fend, Sara Brucker, Florin-Andrei Taran, Stefan Kommoss, Ralf Rothmund
BACKGROUND: This prospective, randomized, controlled, single-blinded study investigates the peritoneal adhesion formation of HybridAPC (waterjet elevation of the peritoneum with subsequent argon plasma coagulation) versus only waterjet (elevation with the same instrument, but without subsequent argon plasma coagulation) in a rat model (24 female Wistar rats). MATERIALS AND METHODS: Bilateral lesions were created on the abdominal wall with HybridAPC on one sidewall and waterjet elevation on the other sidewall of the peritoneum in a standard fashion...
April 2018: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/29350263/histological-findings-after-argon-plasma-coagulation-an-ex-vivo-study-revealing-a-possible-role-in-superficial-ablative-treatment-of-the-skin
#11
L Schmitz, S Hessam, L Scholl, S Reitenbach, M H Segert, T Gambichler, E Stockfleth, F G Bechara
Argon plasma coagulation (APC) is an electrosurgical technique which can be used to ablate skin lesions with limited invasion depth into dermal tissue. Hence, APC might be well suited for the removal of epithelial tumours. However, there are no data on the effects of APC on human skin tissue. Thus, the aim of this study was to determine the extent of epidermal and dermal damage after APC of human skin. We performed APC ex-vivo on 91 freshly resected human skin samples, which were obtained after reconstructive surgical closures in actinically damaged areas...
March 2018: Archives of Dermatological Research
https://www.readbyqxmd.com/read/29329473/intrabiliary-argon-plasma-coagulation-hemostasis-by-direct-cholangioscopy-for-a-tricky-post-ercp-bleeding
#12
Andrea Anderloni, Francesco Auriemma, Alessandro Fugazza, Roberta Maselli, Alessandro Repici
No abstract text is available yet for this article.
March 2018: Endoscopy
https://www.readbyqxmd.com/read/29288506/usefulness-of-argon-plasma-coagulation-ablation-subsequent-to-endoscopic-snare-papillectomy-for-ampullary-adenoma
#13
Kwangwoo Nam, Tae Jun Song, Raymond E Kim, Dong Hui Cho, Min Keun Cho, Dongwook Oh, Do Hyun Park, Sang Soo Lee, Dong-Wan Seo, Sung Koo Lee, Myung-Hwan Kim, Seunghee Baek
BACKGROUND AND AIM: Endoscopic snare papillectomy (ESP) is an effective treatment for ampullary adenoma. Argon plasma coagulation (APC) is widely used as an additional method to control bleeding or ablate the residual tumor. However, the efficacy of this procedure has not yet been fully evaluated. This study aimed to evaluate the usefulness of APC as an additional method to ESP. METHODS: Patients who underwent ESP for ampullary adenoma between September 2005 and September 2015 were retrospectively reviewed...
December 29, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29230137/hybrid-argon-plasma-coagulation-in-patients-with-barrett-esophagus
#14
Oliver Pech
No abstract text is available yet for this article.
October 2017: Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29202683/successful-use-of-snare-electrocautery-via-flexible-fiberoptic-bronchoscopy-for-removal-of-an-endobronchial-hamartoma-causing-chronic-lung-atelectasis-and-mimicking-malignancy
#15
Chao Liu, Jia-Jia Wang, Ye-Han Zhu, Cheng Chen
We present a rare case of giant endobronchial hamartoma coexisting with lung atelectasis for more than 3 years. The small specimen initially biopsied via bronchoscope did not reveal tissue features, but some features were suspicious for squamous cell carcinoma. The lesion was removed completely using snare electrocautery combined with argon plasma coagulation via flexible fiberoptic bronchoscopy. The patient made a satisfactory recovery, and a pathological diagnosis was made. This could be a useful option in selected endobronchial tumors...
December 2017: Therapeutic Advances in Respiratory Disease
https://www.readbyqxmd.com/read/29158178/dissection-enabled-scaffold-assisted-resection-descar-a-novel-technique-for-resection-of-residual-or-non-lifting-gi-neoplasia-of-the-colon-with-video
#16
Matthew W Stier, Christopher G Chapman, Allie Kreitman, John A Hart, Shu-Yuan Xiao, Uzma D Siddiqui, Irving Waxman
BACKGROUND AND AIMS: As a result of previous manipulation or submucosal invasion, GI lesions referred for EMR frequently have flat areas of visible tissue that cannot be snared. Current methods for treating residual tissue may lead to incomplete eradication or not allow complete tissue sampling for histologic evaluation. Our aim is to describe dissection-enabled scaffold-assisted resection (DeSCAR), a new technique combining circumferential ESD with EMR for removal of superficial non-lifting or residual "islands" with suspected submucosal involvement/fibrosis...
March 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29151535/multiple-endotracheal-metastases-of-lung-cancer-after-bronchoscopic-intervention-a-case-report
#17
Kazuki Hayasaka, Satoshi Shiono, Naoki Yanagawa
A 65-year-old man presented with obstructive pneumonia due to squamous cell carcinoma of the lung, which invaded the right main bronchus. Argon plasma coagulation was performed, which reduced his symptoms. Right pneumonectomy was performed after preoperative chemotherapy; the pathological diagnosis was T3N1M0 Stage IIIA. Fifteen months after surgery, he presented with bloody sputum. Bronchoscopy showed multiple endotracheal tumors, and a pathological examination revealed squamous cell carcinoma; the same histology as the primary lung cancer...
November 20, 2017: Internal Medicine
https://www.readbyqxmd.com/read/29125213/gastrointestinal-spray-coagulation-with-snare-tip-as-a-rescue-therapy-to-argon-plasma-coagulation-for-bleeding-jejunal-angioectasia
#18
H H Yen
No abstract text is available yet for this article.
December 2017: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29099778/upper-gastrointestinal-bleeding-in-children-a-tertiary-united-kingdom-children-s-hospital-experience
#19
Omar Nasher, David Devadason, Richard J Stewart
The aim of this study was to review the aetiology, presentation and management of these patients with upper gastrointestinal bleeding (UGIB) at a tertiary children's unit in the United Kingdom. This was a retrospective single-institution study on children (<16 years) who presented with acute UGIB over a period of 5 years using known International Classification of Diseases (ICD) codes. A total of 32 children (17 males, 15 females) were identified with a total median age at presentation of 5.5 years. The majority (24/32) of patients presented as an emergency...
November 3, 2017: Children
https://www.readbyqxmd.com/read/29092972/tranexamic-acid-in-treatment-resistant-chronic-transfusion-dependent-gastrointestinal-angiodysplasia-bleeding
#20
Karina V Grooteman, Erwin J M van Geenen, Joost P H Drenth
A small proportion of gastrointestinal angiodysplasia bleeding leads to chronic blood cell transfusion dependency. There are no guidelines supporting decision-making among various treatments in patients with gastrointestinal angiodysplasia bleeding. When endoscopic argon plasma coagulation is ineffective, the angiogenesis inhibitors thalidomide and octreotide can be considered. We describe a 77-year-old woman who had side effects of these angiogenesis inhibitors, which caused her to have continued bleeding...
November 1, 2017: BMJ Case Reports
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