Patient B is a 98 year old male, referred for urgent outpatient upper gastrointestinal endoscopy because of a low haemoglobin of 6.0 gm/dL and current complaints of haemetemesis and malaena. He had received several transfusions of blood over the past few months. This patient has no history of any stigmata of liver disease. Argon Plasma Coagulation is the safe and accepted first line of treatmen...

The term gastric adenoma means a benign lesion of the glandular epithelium having variable degrees of cellular atypia and showing papillary or tubular structures. Because long-term follow-up studies of gastric adenomas reveal malignant transformations, it is well known they are premalignant. Since these lesions lie histologically and clinically on the borderline of between whether they are beni...

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...

Dear Editor, Gastric antral vascular ectasia (GAVE) is an uncommon but important cause of chronic gastrointestinal blood loss and iron deficiency anaemia. The syndrome was first described in 1953 by Ryder et al in the gastrectomy specimen of an elderly woman. It was not until 1984 when Jabbari et al described the unique endoscopic appearance as “prominent erythematous stripes radiating in a spo...

Argon plasma coagulation (APC) is a safe method of electrocoagulation [1, 2]. How− ever, perforation can occasionally occur after the development of submucosal em− physema: contact of the probe with the mucosa, thermal injury, and high argon flow can all lead to an escape of gas through the gastrointestinal tract wall. Pneumoperitoneum developing after APC can be asymptomatic and heal spon− tan...

established tool to treat lesions of the gastrointestinal mucosa, such as angio− dysplasias [1]. Cases of colon perforation after gas explo− sion caused by APC have been recorded since 1976 [2], especially after prepara− tion with mannitol [3], which seemed to increase hydrogen gas production. Newer data suggest that stools remaining in an incompletely cleaned bowel may be the main cause for ex...

Références [1]Vachharajani A.J., Shah J.K., Paes B.A. Late onset left diaphragmatic hernia after group B streptococcal sepsis. J Pediatr Surg 2002; 37: 932-3. [2]-Garcia-Munoz F, Santana C, Reyes D et al. Early sepsis, obstructive jaundice and right-side diaphragmatic hernia in the new born. Acta Paediatr 2001; 90:96-8. [3]-Harris MC, Moskowitz WB, EngleWD et al. Group B streptococcal septicaem...

Primary endobronchial schwannomas are extremely rare tumors that originate from Schwann cells. We report a case of primary endobronchial schwannoma. A 44-year-old woman, without respiratory symptoms, was presented with a nodule in the left main bronchus on her chest computed tomography scan. The nodule was removed by a rigid bronchoscopy with argon plasma coagulation. Biopsy confirmed the diagn...

Argon plasma coagulation (APC) is a common and safe bronchoscopic technique used in the management of obstructing lesions and hemorrhage in the central airways. Complications of bronchoscopic APC are uncommon and include hemorrhage, perforation and fire in the airways. While bronchoscopic APC has been reported to cause systemic gas embolization and associated cardiovascular collapse, we report ...