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Summary Argon plasma coagulation (APC) is the most widely available technique for ablation of Barrett’s esophagus. When the argon plasma is applied, thermal injury to the epithelium results. The depth of injury is the function of the voltage, the gas flow, and the pressure applied to the probe. A series of 32 patients with high-grade dysplasia were treated with APC with 34 months of follow-up. Dysplasia...
Enteral stent placement for disorders of the gastrointestinal tract has evolved significantly over the past decade. While the majority of enteral stent placement is still performed for malignant obstruction, advancements in endoscopic technique and device technology have opened the door for the use of enteral stenting for benign disease as well. This chapter focuses on the indications, techniques,...
Esophageal strictures are a relatively common problem in gastroenterology and are broadly divided into benign and malignant types. Recent data suggest that the overall incidence of new and recurrent esophageal strictures have decreased by about 10% and 30%, respectively, over the last decade (El-Serag 2006). This decline in the incidence of esophageal strictures is most likely due to the reduction...
Acute variceal bleeding is a major complication of portal hypertension, with high mortality rates and a high risk for rebleeding. A proper multidisciplinary approach by experienced clinical emergency care doctors, intensive care medicine specialists, clinical hepatologists, interventional radiologists, and hepatobiliary surgeons is required. Vasoactive therapy (terlipressin or somatostatin) should...
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