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 …
Tag: argon plasma coagulation
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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