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العنوان
ROLE OF ARGON PLASMA COAGULATION IN MANAGING DIFFERENT TYPES OF GASTRIC VASCULAR ECTASIA LESIONS
المؤلف
Shaban,Wael Mahmoud Mohamed
هيئة الاعداد
باحث / Wael Mahmoud Mohamed Shaban
مشرف / Mohamed Abdel-Fatah El Malatawy
مشرف / Hanan Mahmoud Badawy
مشرف / Nanees Ahmed Adel Abd El-Magid
الموضوع
ARGON PLASMA COAGULATION IN MANAGING DIFFERENT-
تاريخ النشر
2011
عدد الصفحات
208.p:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب الباطني
تاريخ الإجازة
1/1/2011
مكان الإجازة
جامعة عين شمس - كلية الطب - Internal Medicine
الفهرس
Only 14 pages are availabe for public view

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Abstract

Gastric vascular ectasia (GVE), an uncommon cause of GI bleeding, various endoscopic techniques are used to treat GVE, including heat and multipolar probes and argon plasma coagulation (APC).
Argon plasma coagulation (APC) is a non-contact electrocoagulation technique which, in recent years, has proven to be effective in controlling GVE-related bleeding.
The aim of this work is to study the role of Argon Plasma Coagulation in management of different types of Gastric Vascular Ectasia (GVE).
The study was conducted on 30 patients with upper GIT bleeding associated with GVE who were divided into 3 groups: Group (1): included 10 patients with PHG .Group (2): included 10 patients with FVE. Group (3): included 10 patients with GAVE.
All Patients were be followed for 3 months following APC treatment and evaluated clinically, laboratory and endoscopically pre and post APC.
In this study endoscopic thermal ablation with APC is effective in reducing UGIT rebleeding, transfusion requirements, reduced bleeding-related hospitalizations, while hemoglobin level and hematocrit value increased in most patients during post treatment follow- up period, including those with PHG with more treatment sessions.
There was a statistically significant correlation for most of these finding pre and post APC in the 3 patient groups, however no statistical significance correlation was found with Child classification except for number of APC sessions and number of rebleeding attacks.