Second-generation argon plasma coagulation: two-center experience with 600 patients.

Abstract:

BACKGROUND AND AIM:Second-generation argon plasma coagulation (APC; APC 2/VIO APC) with its modes 'forced', 'pulsed', and 'precise' is a further development of the ICC/APC 300 system (first-generation APC). Until now, only limited data has existed on the use of APC 2. METHODS:Fundamental data on the characteristics of the various APC 2 modes and clinical data from more than 600 patients treated in two high-volume endoscopy centers were analyzed. On the basis of these data, recommendations for the use of APC in daily gastroenterological practice were made. RESULTS:In comparison to the ICC system, second-generation APC offers a broadened bandwidth of settings including different APC modes and a range of power settings from 1 to 120 W. Using the various modes of APC 2 in a variety of gastrointestinal diseases, minor complications were observed in 9-21% of patients. Major complications occurred in 1-7% of patients. CONCLUSIONS:In a two-center experience treating a large group of patients with a wide variety of gastrointestinal conditions, the different APC 2 modes appeared to be safe and effective. Certain preventive measures before and during clinical application are recommended in order to avoid complications.

authors

Manner H,Enderle MD,Pech O,May A,Plum N,Riemann JF,Ell C,Eickhoff A

doi

10.1111/j.1440-1746.2008.05437.x

subject

Has Abstract

pub_date

2008-06-01 00:00:00

pages

872-8

issue

6

eissn

0815-9319

issn

1440-1746

pii

JGH5437

journal_volume

23

pub_type

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