Two cases of superficial esophageal cancer recurred after Argon Plasma Coagulation

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[Treatment of superficial esophageal cancer by argon plasma coagulation].

アルゴンプラズマ凝固法(argon plasma coagulation: APC)は外科手術時の臓器切断面止血法のひとつ として用いられてきたが,内視鏡用のアプリケータが 開発されてからは,消化器内視鏡分野で新たな止血 ・凝固法として注目を集めている. APCはアルゴン ガスを噴射し,その流れに高周波電流を重ねた非接 触型高周波凝固法で,アルゴンガスはプローブ先端 でイオン化されアルゴンプラズマ流となって組織に 到達し,表面を凝固する.その適応は止血処置の他, 腫瘍焼灼や食道静脈瘤の地固め療法にも使用され ている.特徴としては,操作が簡便で短時間に広範 囲を浅い深度で凝固できることがあげられる.今回, 重篤な基礎疾患を合併しているため内視鏡的粘膜切除 (Endoscopic mucosal resection: EMR),外科手術が 施行困難な食道表在癌に対しAPC治療を施行した ...

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Gastric pneumatosis after endoscopic argon plasma coagulation.

INTRODUCTION Endoscopic argon plasma coagulation (APC) is gaining widespread usage but its risk is underreported. CLINICAL PICTURE A 74-year-old man who received radical radiotherapy for gastric carcinoma 6 months ago was admitted for anaemia and maelena. Gastroscopy revealed haemorrhagic radiation gastritis. Endoscopic APC was performed but terminated when he complained of severe epigastric ...

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Argon plasma coagulation

Argon Plasma Coagulation (APC) is an application of gas discharges in argon in electrosurgery, which is increasingly used especially in endoscopy. The major application fields are haemostasis, tissue devitalization and tissue reduction.This review describes the physics and technology of electrosurgery and APC. Some characteristics of the argon discharge are shown and discussed, and thermal effe...

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Endoscopic Submucosal Dissection for Recurrent or Residual Superficial Esophageal Cancer after Chemoradiotherapy: Two Cases

We report two cases of endoscopic submucosal dissection (ESD) for recurrent or residual esophageal squamous cell carcinoma (ESCC) lesions after chemoradiotherapy for advanced esophageal cancer. Case 1 involved a 64-year-old man who had previously undergone chemoradiotherapy for advanced ESCC and achieved a complete response (CR) for 22 months, until metachronous recurrent superficial ESCC was d...

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Conservative management of massive pneumoperitoneum after argon plasma coagulation.

Argon plasma coagulation (APC) is a safe and effective technique that is widely used for the treatment of gastrointestinal vascular lesions. It is considered the technique of choice for the management of these lesions. Rendu–Osler–Weber disease is a condition characterized by the appearance of arteriovenous malformations of the skin, mucous membranes and various organs, typically presenting gas...

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ژورنال

عنوان ژورنال: Progress of Digestive Endoscopy

سال: 2003

ISSN: 1348-9844,2187-4999

DOI: 10.11641/pde.62.2_60