Post written by Kazuki Hama, MD, and Takao Itoi, MD, PhD, FASGE, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. Ampullary tumors with intraductal extension are typically treated with pancreaticoduodenectomy, a procedure associated with significant morbidity, especially in elderly patients. Recently, endoscopic approaches using adjunctive ablative therapies such as intraductal radiofrequency ablation (ID-RFA) and argon …
Tag: argon plasma coagulation
Analyzing methods for reducing recurrence rates after EMR of large nonpedunculated colorectal polyps: an indirect pairwise comparison
Post written by Dhruvil Radadiya, MD, from the University of Kansas Medical Center, Kansas City, Kansas, USA. The focus of our study was to compare EMR with snare tip soft coagulation (STSC), EMR with argon plasma coagulation (APC), and underwater EMR (U-EMR) techniques routinely used for resection of large nonpedunculated polyps indirectly with each other with …
Endoscopic removal of a weight-loss device with stoma closure using a tack-and-suture device
Post written by Christopher McGowan, MD, MSCR, AGAF, ABOM, FASGE, from True You Weight Loss, Cary, North Carolina, USA. In this video, we describe our technique for the endoscopic removal of an AspireAssist weight-loss device (Aspire Bariatrics, King of Prussia, Penn, USA) with simultaneous prophylactic stoma closure. The device was approved by the U.S. Food and …
Spray coagulation as an alternative to argon plasma coagulation for bleeding portal hypertensive gastropathy
Post written by Sahaj Rathi, MD, DM, MRCP, from the Department of Hepatology, Post Graduate Institute of Medical Education and Research, Chandigarh, India. Noncontact thermoablation is often used for mucosal bleeding during endoscopy, as it has the advantage of thermal injury limited to superficial layers. Practically, argon plasma coagulation (APC) is the only modality most centers …
Argon plasma coagulation alone vs argon plasma coagulation plus full-thickness endoscopic suturing to treat weight regain after Roux-en-Y gastric bypass
Post written by Vitor Ottoboni Brunaldi, MD, MSc, from the Gastrointestinal Endoscopy Unit, Gastroenterology Department, University of São Paulo Medical School, São Paulo, Brazil, and the Center for Gastrointestinal Endoscopy, Surgery and Anatomy Department, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil. We aimed to compare APC alone to APC plus endoscopic …
Argon plasma coagulation treatment of intraductal papillary neoplasm of biliary tract
Post written by Shyam Thakkar, MD, from the Division of Gastroenterology, Allegheny Health Network, Pittsburgh, Pennsylvania, USA. An 86-year-old woman was referred for ascending cholangitis, resulting in obstructive jaundice and sepsis. Her initial MR cholangiopancreatography revealed dilated bile ducts without any mass or stone in the ductal system. Endoscopic retrograde cholangiopancreatography revealed soft filling defects …
“Cutting the wire”
Jörg G. Albert, MD, from the Department of Medicine I, Johann Wolfgang Goethe-University, in Frankfurt, Germany shares this VideoGIE case, “‘Cutting the wire’ as a troubleshooter for a Dormia basket impacted in the common bile duct.” Incarceration of a bile duct stone may be a challenge for the endoscopist – but to jam a Dormia …
Endoscopic removal of obstructing sutures
Jennifer M. Kolb from the Icahn School of Medicine at Mount Sinai in New York shares this video case "Endoscopic removal of obstructing sutures using argon plasma coagulation" from the VideoGIE section. We present two unusual cases of persistent dysphagia, months after Ivor Lewis esophagectomy for esophageal adenocarcinoma, caused by retained sutures and staples blocking …
Radiofrequency ablation (RFA) safe and effective for the treatment of gastric antral vascular ectasia (GAVE)
Srinadh Komanduri, MD, from the Feinberg School of Medicine at Northwestern University in Chicago, Illinois shares some take-home points from his article "Radiofrequency ablation for refractory gastric antral vascular ectasia" from the October issue. Gastric antral vascular ectasia (GAVE) is a cause of upper GI bleeding and chronic anemia. Although upper endoscopy with argon plasma …
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