The databases of pubmed, embase, and cochrane library were searched for related studies from inception to. It assists in diagnosing gastrointestinal conditions such as bleeding, tumors, crohns disease or small bowel ulcerations. Ogd with argon plasma coagulation apc patient information endoscopy unit, the royal infirmary of edinburgh endoscopy nurses. A 47yearold patient presented from outside the hospital for evaluation of iron deficiency anemia ida. Efficacy of argon plasma coagulation in treatment of endobronchial lesions tuncay g ksel mustafa h. The gastroscope is a long flexible tube thinner than your little finger with a bright light at the end. Plug and operate, insert the instrument to immediately begin working with the apc application. Thus, argon plasma coagulation using an upper gastrointestinal endoscope was considered for treatment of the hemorrhagic radiation cystitis. Yag laser and argon plasma coagulation apc have been advocated, but experience is still limited. The first video shows the theoretical background of apc and the second video shows a case of apc ablation in barretts esophagus be. With the use of a highvoltage electrical field created at the tip of the probe, argon gas is ionized, creating a monopolar current that makes an arc. Beamer argon probes beamer argon probe and beamer argon sidefire probe.
Apc involves the use of a jet of ionized argon gas. Endoscopic dissolution of gastric lipoma with argon plasma. Zhan tolga z znur aydo an berna yildirim a free powerpoint ppt presentation displayed as a flash slide show on id. Here we present two cases in whom apc therapy was used to treat severe radiation colitis. Efficacy of argon plasma coagulation compared to topical formalin application for chronic radiation proctopathy.
Argon plasma coagulation in barretts esophagus video journal. It of fers the simplicity and low cost of anelectrocoagulator with the noncontact approach of an ndyag laser. Argon plasma coagulation an overview sciencedirect topics. Argon plasma coagulation uses highfrequency energy monopolar diathermy. Angiodysplasia, which can cause unexplained gi bleeding as well as anemia. The laser or apc probe is then passed through the gastroscope to treat your condition. We evaluated the thermal effects on esophageal or gastric wall in vivo, and its effectiveness as an adjunct to incomplete resection of early esophageal and gastric cancer after endoscopic mucosal resection emr. In addition to straight noncontact argon plasma coagulation, other electrosurgical options are integrated in the handle. Argon plasma coagulation apc is a widely established method in. Home medical specialties gastroenterology and pulmonary. Argon plasma coagulation for flexible endoscopic zenkers. Argon plasma coagulation apc is a form of noncontactelectrocoagulation.
Is it safe to perform therapeutic endoscopic procedures in patients with implanted electronic cardiac devices. The endoscopic workup suggested a gastric antral subepithelial lesion with an overlying arteriovenous malformation avm. The major application fields are haemostasis, tissue devitalization and tissue reduction. Hemostasis of dieulafoys lesions by argon plasma coagulation with video. Argon plasma coagulation apc is a medical endoscopic procedure used to control bleeding from certain lesions in the gastrointestinal tract and to debulk tumours for which surgery is not recommended.
The flexible hybridapc probe from erbe combines now apc with waterjet elevation to create a submucosal protective layer. Argon plasma coagulation apc is an application of gas discharges in argon. Argon plasma coagulation for bleeding peptic ulcers full. This movie explains the principle and the effect of apc.
Argon plasma coagulation in barretts esophagus sciencedirect. Given the patients anemia and blood transfusion requirements, the avm was treated with argon plasma. Rating is available when the video has been rented. Ppt efficacy of argon plasma coagulation in treatment of. Acute bleeding after argon plasma coagulation for weight regain after gastric bypass. Argon plasma coagulation apc has been proven to be safe in vitro, and has been widely introduced to therapeutic endoscopy. Argon plasma coagulation apc is a method ofcauterizing the vascular abnormality. Argon plasma coagulation for gastrointestinal conditions iii. Used as an alternative to cauterizing blood vessels or using a laser, the process involves the use of a probe that fires argon gas, which closes an electrical current when it hits biological tissues. The cystoscopic examination revealed diffuse radiation cystitis with oozing telangiectasia and coagula. In the present case, thermal ablation of the barretts remainder by argon plasma coagulation apc is shown in a patient recently cured of early barretts cancer by endoscopic resection. Endoscopic argon plasma coagulation of gastrointestinal. Successful use of endoscopic argon plasma coagulation for. Apc is used to remove airway tumor and granulation tissue and treat airway bleeding.
Argon plasma coagulation apc is a relatively new procedure that effectively treats multiple conditions affecting the gastrointestinal tract, including. Argon plasma coagulation apc has been well described for its efficacy in treating radiation proctitis. Gastric angiodysplastic lesions argon plasma coagulation 2 of 3. Noncontact procedure, no sticking of the instrument tip to the tissue.
An electrosurgical method whereby argon gas is ionised by an electric current to create a noncontact, homogeneous bridge to target tissue for coagulation or ablation. Gastric angiodysplastic lesions with argon plasma coagulation treatment. Treatment of radiation proctitis with argon plasma coagulation. Teleangiectasias appear in the mucosa in 25% of patients after radiotherapy of the pelvis. Endoscopic argon plasma coagulation of gastrointestinal bleeding and oesophageal stents march 2008. Small sessile polyps are resected, the image and the video clip display a diminutive polyp that was removed with coagulation, using argon plasma coagulator apc. Argon plasma coagulation apc is a form of noncontact electrocoagulation that uses ionized argon gas to conduct an electrical current between the delivery catheter probe and the target tissue. Argon plasma coagulation is a surgical procedure used to stop bleeding without touching the tissue being targeted. Endobronchial electrocautery and argon plasma coagulation apc are modes of thermal tissue destruction that may be used via the flexible or rigid bronchoscope. Argon plasma coagulation for adenomatosis of the biliary. Argon plasma coagulation apc is an application of gas discharges in argon in electrosurgery, which is increasingly used especially in endoscopy. Is it safe to perform therapeutic endoscopic procedures in. Argon plasma coagulation therapy was realized by an olympus electrosurgical unitapc unit psd60endoplasma, olympus corporation, tokyo, japan, and its catheters were 2.
Endoscopic ultrasound eus revealed the lesion to be a lipoma. The image and the video clip display a diminutive polyp that was removed with coagulation, using argon plasma coagulator apc. Grounding pads should be applied as close as possible to the treatment. What is the argon plasma coagulation and how does it work.
Argon plasma coagulation for adenomatosis of the biliary bifurcation video journal and encyclopedia of gi endoscopy. Argon plasma coagulation for the endoscopic treatment of. Argon plasma coagulation apc in flexible bronchoscopy is used to control bleeding in the tracheobronchial tract. Gastric antral vascular ectasia gave or watermelon stomach, a less common cause of gi bleeding andor anemia. Oesophagogastro duodenoscopy ogd with argon plasma. A gastroscope will be passed down into your food pipe. Download video 17mb argon plasma coagulation in barretts esophagus. Hemorrhagic chronic radiation proctopathy crp is a common complication after pelvic radiotherapy in patients with prostate or gynecological cancers. Few comparative trials have been performed on apc, though 2 have been reported in the literature. Heat is created through the application of highfrequency electric currents. Argon plasma coagulation apc uses a gas ignited by an electric spark to create a plasma beam that causes tissue to burn.
A wireless video camera small enough to swallow to obtain imaging of the small intestine. Argon plasma coagulation apc was chosen video 1, available online at. Endobronchial argon plasma coagulation for treatment of. All of the bleeding sites and telangiectasia were coagulated using argon plasma coagulation. A study by alfadhi et al 29 x 29 alfadhli, aa, alazmi, wm, ponich, t et al. Efficacy and complications of argon plasma coagulation for hemorrhagic chronic radiation proctitis 442019 3. What is argon plasma coagulation apc the argon plasma coagulator apc is a non contact electrocoagulation device that uses high frequency monopolar current conducted to target tissues through ionized argon gas to achieve hemostasis or tissue ablation. Argon plasma coagulation is one of the monopolar devices and should be used with minimal feasible power and brief, intermittent bursts.
Thenoncontact feature of apc allows rapid coagulation with minimalmanipulation of. The increasing use of flexible endoscopy to treat symptomatic zenkers diverticulum is only partially supported by data on safety and benefits. Argon plasma coagulation apc offers a safer and more. Argon plasma coagulation with the operating convenience of the logical and plausible vio 3 interface. The apcapplicator from erbe is an electrosurgical multitalent. Endoscopic treatment modalities were discussed with the patient to prevent recurrent mucobilia and cholangitis. Backgroundthe endoscopic use of argon plasma coagulation apc to achieve hemostasis for upper gastrointestinal tumor bleeding ugitb. A direct transnasal cholangioscopy for diagnosis and palliative argon plasma coagulation of the lesion was performed. The difference between the two procedures centers on the fact that apc is a noncontact mode of tissue coagulation. Pdf argon plasma coagulation apc is an application of gas discharges in argon in electrosurgery, which is. Efficacy and safety of argon plasma coagulation for.
It is administered during esophagogastroduodenoscopy or colonoscopy. Treatments are delivered through either a flexible or rigid bronchoscope. The principle of the argon plasma coagulation youtube. The definition states physical eradication of all or a portion of a body part by the. Since pharmacotherapy is usually not beneficial, local treatment modalities with formalin irrigation, nd. Similar to laser tissue destruction, the effect of both endobronchial electrocautery and apc is determined by heat and tissue interaction, and is fairly rapid. Argon plasma coagulation of gastrojejunal anastomosis for weight regain after gastric bypass. Argon plasma coagulation definition of argon plasma. This article is part of an expert video encyclopedia. Argon plasma coagulation of gastrojejunal anastomosis for. Pdf hemostasis of dieulafoys lesions by argon plasma. Argon plasma coagulation apc has been used for thermal ablation of barretts esophagus for years. Clinical endoscopy hemostasis of dieulafoys lesions by argon plasma coagulation with video federico iacopini, md, lucio petruzziello, md, michele marchese, md, alberto larghi, md, phd, cristiano spada, md, pietro familiari, md, andrea tringali, md, phd, maria elena riccioni, md, armando gabbrielli, md, guido costamagna, md, facg rome, italy background. This retrospective study reports the midterm results of argon plasma coagulation apc for flexible endoscopic therapy of zenkers diverticulum.
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