Role of argon plasma coagulation in management of bleeding ... | 合法醫療器材資訊網

由NThosani著作·2014·被引用7次—Background/aims:Tumorrelatedgastrointestinal(GI)bleedingisachallengingclinicalproblemincancerpatients.Argonplasmacoagulation(APC)ispreferred​ ...

Background/aims: Tumor related gastrointestinal (GI) bleeding is a challenging clinical problem in cancer patients. Argon plasma coagulation (APC) is preferred for the management of bleeding arterio-venous malformations. Our objective was to assess the role of APC in the management of bleeding GI tumors.

Materials and methods: This is a retrospective review of endoscopies performed at the UT MD Anderson Cancer Center over 3 consecutive years (2009-2011). This study involved patients with primary or metastatic gastrointestinal cancer with suspected GI bleeding and interventions included were endoscopies with APC. Our main outcome measurements were immediate hemostasis rate, change in transfusion requirements, re-bleeding rate, and 30-day mortality.

Results: Immediate hemostasis was achieved in all 10 (100%) patients, with either APC performed alone (8 patients) or with adjuvant epine...