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Volume 7, Issue 3 (Suppl) J Gastrointest Dig Syst, an open access journal
ISSN: 2161-069X Gastro 2017
June 12-13, 2017
June 12-13, 2017 Rome, Italy
11th Global
GastroenterologistsMeeting
Can argon plasma coagulation be endoscopic recovery treatment in uncontrolled esophageal varices
bleeding?
Huseyin Sancar Bozkurt
Medical Park Tarsus Hospital, Turkey
Statement of the Problem: Esophageal variceal bleeding is a life-threatening complication of portal hypertension with a six-week
mortality rate of approximately 20%. The available data suggest that vasoactive drugs, combined with endoscopic therapy and
antibiotics, are the best treatment strategy with endoscopic variceal ligation (EVL) being the endoscopic procedure of choice. Tissue
adhesives, endoloops, endoscopic clipping and argon plasma coagulation (APC), have been used in the management of uncontrolled
esophageal varices bleeding.
Case Report: We reported two cases 77-year-old man with hepatitis C, Child-Pugh B cirrhosis who received EVL for esophageal
variceal haemorrhage two years ago and 47-year old man with alcohol induced Child-Pugh C cirrhosis who received EVL for
esophageal variceal haemorrhage one year ago included with uncontrolled esophageal varices bleeding.
Results: Argon plasma coagulation has been used as a recovery treatment for controlling of acute esophageal varices bleeding after
unsuccessful endoscopic sclerotherapy and EVL (figure 1 and figure 2). The bleeding was controlled successfully in patients.
Conclusion: To our knowledge, this is the first documented case to report APC used in uncontrolled acute esophageal varices
bleeding. Argon plasma coagulation can be endoscopic recovery treatment in uncontrolled esophageal varices bleeding.
Figure 1: Acute esophageal varices bleeding Figure 2: Bleeding was controlled after APC
Biography
Huseyin Sancar Bozkurt has completed his PhD at the age of 24 years from Trakya University and İnternal Medicine at the age of 30 from Çukurova University.
He has completed gastroenterology education at the age of 33 years from Adana Baskent University. He has published multiple national and international papers.
Huseyin Sancar Bozkurt, J Gastrointest Dig Syst 2017, 7:3(Suppl)
DOI: 10.4172/2161-069X-C1-049