Clinical outcomes of ablation of gastric dysplasia with argonplasmacoagulation. Although several small cohort studies have shown the utility of argonplasmacoagulation (APC) in the treatment of gastric dysplasia, its clinical significance has not been established. This study aims to assess the efficacy of APC as a first line treatment for gastric dysplasia, and identify risk factors
Hot avulsion versus argonplasmacoagulation for the management of the non-ensnarable polyp: A multicenter, randomized controlled trial. Snare resection of nonlifting colonic lesions often requires supplemental techniques. We compared the success rates of neoplasia eradication using hot avulsion and argonplasmacoagulation in colonic polyps when complete snare polypectomy had failed. Polyps that were not completely resectable by snare polypectomy were randomized to argonplasmacoagulation or hot avulsion for completion of resection. Argonplasmacoagulation was delivered using a forward shooting catheter, using a nontouch technique (flow 1.2 L, 35 watts). Hot avulsion was performed by grasping the neoplastic tissue with hot biopsy forceps and applying traction away from the bowel wall while
Roux-en-Y gastric bypass pouch outlet reduction using argonplasmacoagulation to treat weight regain: a randomized controlled trial with a sham control group. A comparative study was conducted to evaluate the efficacy of argonplasmacoagulation (APC) therapy in treating post Roux-en-Y gastric bypass (RYGB) weight regain and the incidence of complications related to this procedure, using
Hybrid argonplasmacoagulation (HybridAPC) versus sharp excision for the treatment of endometriosis: a prospective randomized clinical trial. Endometriosis is a benign, but potentially serious gynaecological condition in terms of abdominal pain and impaired fertility. Laparoscopic excision techniques are considered the therapeutic standard. HybridAPC is presented as a novel technique
Efficacy of the argonplasmacoagulation in patients with weight regain after gastric bypass: a randomized control trial. Endoscopic procedure using argonplasmacoagulation (APC) promotes a progressive reduction in gastrojejunal anastomosis diameter. The present study aimed to evaluate the efficacy of the APC in patients with weight regain in the postoperative periods of gastric bypass
Radiofrequency ablation versus hybrid argonplasmacoagulation in Barrett's esophagus: a prospective randomised trial. Radiofrequency ablation (RFA) and hybrid argonplasmacoagulation (H-APC) are established thermal ablation techniques for eradicating Barrett's esophagus after endoscopic resection. This study aimed to compare RFA with H-APC in relation to safety, effectiveness and eradication
Snare tip soft coagulation vs argonplasmacoagulation vs no margin treatment after large non-pedunculated colorectal polyp resection: a randomized trial. Thermal treatment of the defect margin after endoscopic mucosal resection (EMR) of large non-pedunculated colorectal lesions reduces the recurrence rate. Both snare tip soft coagulation (STSC) and argonplasmacoagulation (APC) have been used
Good Clinical Practices on ArgonPlasmaCoagulation Treatment for Weight Regain Associated with Dilated Gastrojejunostomy Following Roux-en-Y Gastric Bypass: a Brazilian-Modified Delphi Consensus. Argonplasmacoagulation (APC) alone is effective and safe at treating weight regain following Roux-en-Y gastric bypass (RYGB). However, technical details of the treatment vary widely among studies
Hybrid argonplasmacoagulation-assisted endoscopic mucosal resection for large sessile colon polyps to reduce local recurrence: a prospective pilot study. Endoscopic mucosal resection (EMR) of large, sessile colon polyps often results in incomplete resection with subsequent recurrence. The aim of this prospective pilot study was to evaluate the efficacy and safety of a novel technique, hybrid argonplasmacoagulation-assisted EMR (hAPC-EMR), to remove large, sessile polyps. 40 eligible patients underwent hAPC-EMR for the removal of one or more nonpedunculated colon polyps ≥ 20 mm. Participants were contacted 30 days post-procedure to assess for adverse events and were recommended to return for a surveillance colonoscopy at 6 months to assess for local recurrence. At the time writing, 32
Argonplasmacoagulation alone versus argonplasmacoagulation plus full-thickness endoscopic suturing to treat weight regain after Roux-en-Y gastric bypass: a prospective randomized trial (with videos). A significant number of patients regain weight after Roux-en-Y gastric bypass. Ablation with argonplasmacoagulation (APC) plus endoscopic full-thickness suturing (FTS-APC) and ablation alone
Cold snare polypectomy vs. hot snare polypectomy vs. argonplasmacoagulation for small (5-9mm) left-sided colorectal polyps: a prospective randomized trial. To compare recurrence rates among three endoscopic treatment modalities for 5-9 mm left-sided colorectal polyps. Consecutive adults referred for elective colonoscopy (1/2015-1/2018) with at least one polyp of eligible size (5-9 mm) located distally to the splenic flexure were randomly assigned (1:1:1) to one of three treatment modalities: (1) cold snare polypectomy (CSP), (2) hot snare polypectomy (HSP) and (3) argonplasmacoagulation (APC) ablation (50-60 W, flow: 2 l/min). The polyp site was marked with an endoscopic tattoo, and a follow-up colonoscopy with scar biopsies was performed >6 months after the index procedure. Outcomes were
Endorectal formalin instillation or argonplasmacoagulation for hemorrhagic radiation proctopathy therapy: a prospective and randomized clinical trial. Radiotherapy may cause hemorrhagic radiation proctopathy (HRP). For conservative treatment of refractory HRP, argonplasmacoagulation (APC) is the first-choice therapy. Endorectal formalin instillation (EFI), in turn, is an attractive treatment
Endoscopic ArgonPlasmaCoagulation vs. Multidisciplinary Evaluation in the Management of Weight Regain After Gastric Bypass Surgery: a Randomized Controlled Trial with SHAM Group. Roux-en-Y gastric bypass is one of the most widely performed bariatric surgeries. However, the relapse of obesity occurs in approximately 20% of patients and enlargement of the anastomosis is one of the factors associated with this relapse. Endoscopic treatment of the anastomosis has been proposed to assist in renewed weight loss. One endoscopic technique is the narrowing of the anastomosis argonplasmacoagulation (APC). Evaluate the effectiveness and safety of the endoscopic treatment of an enlarged anastomosis with APC. A randomized controlled study was conducted comparing APC to exclusive multidisciplinary
Can prophylactic argonplasmacoagulation reduce delayed post-papillectomy bleeding? A prospective multicenter trial. Endoscopic post-papillectomy bleeding occurs in 3% to 20% of the cases, and delayed bleeding is also problematic. However, there is no consensus on how to reduce delayed post-papillectomy bleeding. The aim of this study was to evaluate the efficacy of prophylactic argonplasmacoagulation (APC) to minimize delayed bleeding and reduce the persistence of residual tumors after endoscopic papillectomy. In a prospective pilot study of patients with benign ampullary tumors, the prophylactic APC group underwent APC at the resection margin following a conventional snaring papillectomy. Then, 24 h later after the papillectomy, all patients underwent a follow-up duodenoscopy to identify
Dose response for argonplasmacoagulation in the treatment of weight regain after Roux-en-Y gastric bypass. Argonplasmacoagulation (APC) of gastrojejunal anastomosis (GJA) is effective in treating weight regain after Roux-en-Y gastric bypass (RYGB). This study aims to compare the efficacy of different APC settings for treating weight regain. This was a single-center retrospective study
Argonplasmacoagulation for Barrett's esophagus with low-grade dysplasia: a randomized trial with long-term follow-up on the impact of power setting and proton pump inhibitor dose. This study evaluated the impact of power setting and proton pump inhibitor (PPI) dose on efficacy and safety of argonplasmacoagulation (APC) of Barrett's esophagus (BE) with low-grade dysplasia (LGD). METHODS : 71
Correlation of Treatment of Peptic Ulcer Bleeding by ArgonPlasmaCoagulation (APC) via Contact Heat Probe Method (heater probe) with Epinephrine Injection. BACKGROUND This clinical investigation aimed to compare the efficacy of treatment of peptic ulcer hemorrhage by argonplasmacoagulation (APC) via contact heat probe method (heater probe) along with epinephrine injection. METHODS 100
Argonplasmacoagulation tonsillectomy versus coblation tonsillectomy: a comparison of efficacy and safety. Tonsillectomy is one of the most common otolaryngological procedures. Nonetheless, there is still no universally approved 'gold standard' technique. To compare the safety and efficacy of argonplasmacoagulation and coblation techniques in tonsillectomy. A multi-institutional , retrospective cohort study was conducted, comprising 283 patients who underwent bilateral tonsillectomies performed by a single surgeon between 2014 and 2017. The outcome measures included: operative time, intra-operative blood loss, post-operative pain and post-operative haemorrhage. In the argonplasmacoagulation group, mean operative time and post-operative haemorrhage rate were significantly reduced, p
Gastric antral vascular ectasia in portal hypertensive children: Endoscopic band ligation versus argonplasmacoagulation. Gastric antral vascular ectasia (GAVE) can cause recurrent bleeding and chronic anemia in children with portal hypertension (PHT). We aimed to evaluate the efficacy of EBL in comparison to argonplasmacoagulation (APC) in children with PHT, bleeding from GAVE
Radiofrequency ablation compared with argonplasmacoagulation after endoscopic resection of high-grade dysplasia or T1 adenocarcinoma in Barrett's esophagus: a randomized pilot study (BRIDE). Endoscopic resection (ER) is safe and effective for Barrett's esophagus (BE) containing high-grade dysplasia (HGD) or mucosal adenocarcinoma (T1A). The risk of metachronous neoplasia is reduced by ablation of residual BE by using radiofrequency ablation (RFA) or argonplasmacoagulation (APC). These have not been compared directly. We aimed to recruit up to 100 patients with BE and HGD or T1A confirmed by ER over 1 year in 6 centers in a randomized pilot study. Randomization was 1:1 to RFA or APC (4 treatments allowed at 2-month intervals). Recruitment, retention, dysplasia clearance, clearance of benign