scholarly journals Symptomatic gastric inlet patches in children treated with argon plasma coagulation: a case series

2012 ◽  
Vol 2 (2) ◽  
pp. 91-93 ◽  
Author(s):  
John Brannon Alberty ◽  
Ricardo Chanis ◽  
Vikram Khoshoo
Endoscopy ◽  
2020 ◽  
Vol 52 (09) ◽  
pp. 812-813 ◽  
Author(s):  
Arvind J. Trindade ◽  
Diana Wee ◽  
Praneet Wander ◽  
Molly Stewart ◽  
Calvin Lee ◽  
...  

Author(s):  
Cláudia Macedo ◽  
Nuno Almeida ◽  
Ana Rita Alves ◽  
Ana Margarida Ferreira ◽  
Pedro Figueiredo

<b><i>Introduction:</i></b> Percutaneous endoscopic gastrostomy is a safe and effective technique and its use is widely spread. Peristomal leakage may occur within the first few days after gastrostomy tube placement and also in the mature gastrostomy tract. The initial treatment involves conservative measures. If the leakage does not resolve, different endoscopic interventions could be necessary with consequent impairing of enteral nutrition and, in some cases, the need of creating a new gastro-cutaneous fistula. <b><i>Case Report:</i></b> We present 4 consecutive cases complicated with late peristomal leakage and medical treatment failure. These patients underwent upper digestive endoscopy, and circumferential fulguration of the mucosa surrounding the tube with pulsed argon plasma coagulation (APC) at 50 W and 1 L/min flow rate was performed. Additional long through-the-scope clips were applied in 2 cases, since the inner orifice remained enlarged, in order to obtain a better closure. Complete leakage and skin changes resolution occurred between 2 and 6 weeks after the procedure (mean 3.5 weeks). The overall mean follow-up was 19 months after the endoscopic procedure (maximum 30 months, minimum 10 months). There was no recurrence of leakage. <b><i>Conclusion:</i></b> The use of APC alone or combined with long through-the-scope clips in large internal stoma orifice resolved persistent leakage from percutaneous endoscopic gastrostomy in all 4 presented cases without complications. In our case series, this technique appeared to be an effective, safe, and relatively low-cost alternative to the treatment of persistent peristomal leakage of the mature gastrostomy tract.


Author(s):  
Christopher Manley ◽  
Christoph Hutchinson ◽  
Amit Mahajan ◽  
Omar Ibrahim ◽  
Erik Folch ◽  
...  

Adult Recurrent Respiratory Papillomatosis (RRP) is a rare disease caused by the human papilloma virus in which papilloma grows from the respiratory epithelium. Patients can suffer from significant respiratory distress secondary to tracheal or bronchial obstruction by papilloma and the mainstay of treatment is bronchoscopic debridement. There are a variety of techniques to resect the endoluminal tumor, including CO2 or YAG laser, argon plasma coagulation, microdebrider and cold forceps. There have been documented cases of healthcare workers contracting HPV after exposure to surgical smoke during ablation of papilloma and measures should be taken to avoid inhalation of the smoke plume. For proximal lesions that are accessible to a microdebrider, this appears to be a safe and effective technique that does not generate heat or surgical smoke.


2016 ◽  
Vol 83 (5) ◽  
pp. AB512
Author(s):  
Thiago F. Souza ◽  
Lucas M. Marques ◽  
Felipe P. Santos ◽  
Gabriel C. Nunes ◽  
Sergio Barrichello ◽  
...  

2017 ◽  
Vol 27 (5) ◽  
pp. 68-70
Author(s):  
Šarūnas Dailidėnas ◽  
Dainius Šimčikas ◽  
Agnė Čižauskaitė ◽  
Paulius Žeromskas

Radiation proctopathy is defined as rectal damage due to radiation with or without inflammation. Objectives and methods. The aim of this study was to present our clinical experience, regarding the argon plasma coagulation, in a small series of patients with radiation proctitis. Retrospective data analysis of patients treated for radiation proctitis in a single hospital setting from year 2014 to 2017 was performed. Statistical data analysis was carried out using the SPSS 20.0 software. Results. 13 patients underwent argon plasma coagulation. The female and male ratio was 1:2,25. The mean age of the patients was 70,69±13,51 years. All men (n=9) had radiotherapy due to prostate cancer and cervical cancer was the main cause in women group (n=4). Six patients (46%) had second plasma coagulation done. Three patients (23%) had endoscopic argon plasma coagulation. Mean hospital stay was 4,47±8,83 days. Necrosis of mucous membrane was observed in one patient (7,69%). Conclusion. There is no evidence-based consensus regarding treatment of radiation proctitis. Argon plasma coagulation seems to be safe and effective choice of treatment, but further studies are required to determine which methods should be considered as the ,,gold standard” choice.


VASA ◽  
2008 ◽  
Vol 37 (3) ◽  
pp. 289-292 ◽  
Author(s):  
Katsinelos ◽  
Chatzimavroudis ◽  
Katsinelos ◽  
Panagiotopoulou ◽  
Kotakidou ◽  
...  

Gastric antral vascular ectasia (GAVE) is an overt or occult source of gastrointestinal bleeding. Despite several therapeutic approaches have been successfully tested for preventing chronic bleeding, some patients present recurrence of GAVE lesions. To the best of our knowledge, we report the first case, of a 86-year-old woman who presented severe iron-deficiency anemia due to GAVE and showed recurrence of GAVE lesion despite the intensive argon plasma coagulation treatment. We performed endoscopic mucosal resection of bleeding GAVE with resolution of anemia.


2015 ◽  
Vol 28 (01) ◽  
Author(s):  
A Genthner ◽  
A Eickhoff ◽  
J Albert ◽  
MD Enderle ◽  
W Linzenbold

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