Comparison of heater probe coagulation and argon plasma coagulation in the management of Mallory–Weiss tears and high-risk ulcer bleeding

2017 ◽  
Vol 18 (1) ◽  
pp. 35-38 ◽  
Author(s):  
Mete Akin ◽  
Erhan Alkan ◽  
Yasar Tuna ◽  
Tolga Yalcinkaya ◽  
Bulent Yildirim
Keyword(s):  
High Risk ◽  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Ulcer Bleeding ◽  
Plasma Coagulation ◽  
Heater Probe

347n: A Retrospective Study Comparing the Results of Argon Plasma Coagulation Versus Bipolar Probe Coaptation As a Treatment for High Risk Peptic Ulcer Bleeding

2010 ◽  
Vol 71 (5) ◽  
pp. AB113 ◽  
Author(s):  
Salyavit Chittmittrapap ◽  
Danai Limmathurotsakul ◽  
Rungsun Rerknimitr ◽  
Wiriyaporn Ridtitid ◽  
Pradermchai Kongkam ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Retrospective Study ◽  
High Risk ◽  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Ulcer Bleeding ◽  
Peptic Ulcer Bleeding ◽  
Plasma Coagulation

scholarly journals Endoscopic treatment of gastric and duodenal angiodysplasias by elastic rings ligation

2012 ◽  
Vol 140 (3-4) ◽  
pp. 168-172
Author(s):  
Sasa Grgov ◽  
Perica Stamenkovic ◽  
Dejan Janjic
Keyword(s):  
Endoscopic Treatment ◽  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Active Bleeding ◽  
Average Period ◽  
Efficacy And Safety ◽  
Plasma Coagulation ◽  
Heater Probe ◽  
Endoscopic Ligation

Introduction. The most frequently applied methods of endoscopic treatment of angiodysplasias, such as argon plasma coagulation, multipolar coagulation and heater probe, proved to be effective with certain shortcomings and the possibility of complications. There are very scarce data in the literature about the treatment of angiodysplasias with endoscopic ligature. Objective. The aim of the study was to examine the efficacy and safety of endoscopic treatment of gastric and duodenal angiodysplasias by ligation with elastic rings. Methods. In 12 patients (10 male and 2 female, mean age 65.9 years) the endoscopic ligation of gastric and duodenal angiodysplasias was applied. Eight patients (66.6%) had solitary angiodysplasias in the stomach, two patients (16.6%) had solitary angiodysplasias in the descending part of the duodenum and two patients (16.6%) had multiple angiodysplasias in the stomach and duodenum. Two patients (16.6%) had active bleeding from angiodysplasias, while 10 patients (83.3%) had recent bleeding. We used the Cook Endoscopy system with 4 or 6 elastic rings for endoscopic ligation of angiodysplasias. Patients were under follow-up after 2-3 days, 30 days and then every 6 months following the endoscopic ligation of angiodysplasias. Results. Active bleeding from angiodysplasias was stopped in two patients (100%) by endoscopic ligation with elastic rings. The average number of applied ligation sessions in our 12 patients was 1.6, with an average of 1.8 ligatures per session. There were no complications after ligation of angiodysplasias. Recurrence of bleeding occurred in one patient (8.3%) with multiple gastric and duodenal angiodysplasias. The average period of follow-up of patients was 22.8?17.6 months. Conclusion. Endoscopic ligation with elastic rings can be effective and safe for treatment especially of solitary gastric and duodenal angiodysplasias.

scholarly journals Adrenaline Injection Plus Argon Plasma Coagulation versus Adrenaline Injection Plus Hemoclips for Treating High-Risk Bleeding Peptic Ulcers: A Prospective, Randomized Trial

2009 ◽  
Vol 23 (10) ◽  
pp. 699-704 ◽  
Author(s):  
Seyed Alireza Taghavi ◽  
Seyed Mohammad Soleimani ◽  
Seyed Mohammad Kazem Hosseini-Asl ◽  
Ahad Eshraghian ◽  
Hajar Eghbali ◽  
...  
Keyword(s):  
High Risk ◽  
Randomized Trial ◽  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Prospective Randomized Trial ◽  
Peptic Ulcers ◽  
Plasma Coagulation ◽  
End Point ◽  
Bleeding Peptic Ulcers ◽  
Adrenaline Injection

BACKGROUND/OBJECTIVE: Several combination endoscopic therapies are currently in use. The present study aimed to compare argon plasma coagulation (APC) + adrenaline injection (AI) with hemoclips + AI for the treatment of high-risk bleeding peptic ulcers.METHODS: In a prospective randomized trial, 172 patients with major stigmata of peptic ulcer bleeding were randomly assigned to receive APC + AI (n=89) or hemoclips + AI (n=83). In the event of rebleeding, the initial modality was used again. Patients in whom treatment or retreatment was unsuccessful underwent emergency surgery. The primary end point of rebleeding rate and secondary end points of initial and definitive hemostasis need for surgery and mortality were compared between the two groups.RESULTS: The two groups were similar in all background variables. Definitive hemostasis was achieved in 85 of 89 (95.5%) of the APC + AI and 82 of 83 (98.8%) of the hemoclips + AI group (P=0.206). The mean volume of adrenaline injected in the two groups was equal (20.7 mL; P=0.996). There was no significant difference in terms of initial hemostasis (96.6% versus 98.8%; P=0.337), rate of rebleeding (11.2% versus 4.8%; P=0.124), need for surgery (4.5% versus 1.2%; P=0.266) and mortality (2.2% versus 1.2%; P=0.526). When compared for the combined end point of mortality plus rebleeding and the need for surgery, there was an advantage for the hemoclip group (6% versus 15.7%, P=0.042).CONCLUSION: Hemoclips + AI has no superiority over APC + AI in treating patients with high-risk bleeding peptic ulcers. Hemoclips + AI may be superior when a combination of all negative outcomes is considered.

7138 Clinical usefulness of endoscopic argon plasma coagulation treatment on peptic ulcer bleeding.

2000 ◽  
Vol 51 (4) ◽  
pp. AB277
Author(s):  
Chang Beom Ryu ◽  
Kang An Kwon ◽  
Young Seok Kim ◽  
Su Jin Hong ◽  
Jong Ho Moon ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Clinical Usefulness ◽  
Ulcer Bleeding ◽  
Peptic Ulcer Bleeding ◽  
Plasma Coagulation

scholarly journals Comparison of Hemostatic Efficacy of Argon Plasma Coagulation with and without Distilled Water Injection in Treating High-Risk Bleeding Ulcers

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Yuan-Rung Li ◽  
Ping-I Hsu ◽  
Huay-Min Wang ◽  
Hoi-Hung Chan ◽  
Kai-Ming Wang ◽  
...  
Keyword(s):  
High Risk ◽  
Hospital Stay ◽  
Combined Therapy ◽  
Argon Plasma Coagulation ◽  
Water Injection ◽  
Argon Plasma ◽  
Distilled Water ◽  
Plasma Coagulation ◽  
Hemostatic Efficacy ◽  
Bleeding Ulcers

Background. Argon plasma coagulation (APC) is useful to treat upper gastrointestinal bleeding, but its hemostatic efficacy has received little attention.Aims. This investigation attempted to determine whether additional endoscopic injection before APC could improve hemostatic efficacy in treating high-risk bleeding ulcers.Methods. From January 2007 to April 2011, adult patients with high-risk bleeding ulcers were included. This investigation compared APC plus distilled water injection (combined group) to APC alone for treating high-risk bleeding ulcers. Outcomes were assessed based on initial hemostasis, surgery, blood transfusion, hospital stay, rebleeding, and mortality at 30 days posttreatment.Results. Totally 120 selected patients were analyzed. Initial hemostasis was accomplished in 59 patients treated with combined therapy and 57 patients treated with APC alone. No significant differences were noted between these groups in recurred bleeding, emergency surgery, 30-day mortality, hospital stay, or transfusion requirements. Comparing the combined end point of mortality plus the failure of initial hemostasis, rebleeding, and the need for surgery revealed an advantage for the combined group(P=0.040).Conclusions. Endoscopic therapy with APC plus distilled water injection was no more effective than APC alone in treating high-risk bleeding ulcers, whereas combined therapy was potentially superior for patients with poor overall outcomes.

scholarly journals Endoscopic treatment for chronic radiation proctitis

2020 ◽  
Vol 10 (3-4) ◽  
pp. 65-72
Author(s):  
E. A. Grishina ◽  
K. V. Shishin ◽  
I. Yu. Nedoluzhko ◽  
N. A. Kurushkina ◽  
L. V. Shumkina ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
High Risk ◽  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Radiation Proctitis ◽  
Bipolar Coagulation ◽  
Endoscopic Techniques ◽  
Plasma Coagulation ◽  
Chronic Radiation Proctitis ◽  
Chronic Radiation

The preferred method in detection and staging of chronic radiation proctitis is colonoscopy. Moreover, endoscopy is used widely in treating patients with this disease. The main goal of endoscopic techniques is hemostasis and elimination of vascular transformations. This includes formalin application, band ligation, various types of laser irradiation, bipolar coagulation and cryotherapy. However, these methods are associated with relatively high risk of complications, whereas argon plasma coagulation and radiofrequency ablation are effective, relatively safe techniques for chronic radiation proctitis and well tolerated by patients.

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