Endoscopic removal of obstructing sutures using argon plasma coagulation

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dc.contributor.authorKolb, Jennifer M.
dc.contributor.authorKaltenbach, Tonya
dc.contributor.authorSoetikno, Roy
dc.contributor.authorGhevariya, Vishal
dc.contributor.authorÇöl, Cavit
dc.contributor.authorYılmaz, Bülent
dc.contributor.authorPosul, Emrah
dc.date.accessioned2024-09-25T20:01:32Z
dc.date.available2024-09-25T20:01:32Z
dc.date.issued2014
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü en_US
dc.description.abstractWe present two unusual cases of persistent dysphagia, months after Ivor Lewis esophagectomy for esophageal adenocarcinoma, caused by retained sutures and staples blocking the passageway of food and fluid through the esophagus. We demonstrate the use of argon plasma coagulation (APC) at 30-W forced coagulation at 1 L/min to completely remove the PDS sutures from the esophagus with minimal damage to the underlying mucosa. We use the smaller diameter 4.5 fr catheter for precise APC application, using small bursts to melt the suture and staples. This method is safe and effective and can be performed by any endoscopist trained to use APC. After removing the obstructing sutures, we proceeded with balloon dilation of the narrowed anastomosis. Suture removal with APC treatment and subsequent stricture dilation led to significant improvement in symptoms and quality of life.
dc.identifier.doi10.1016/j.gie.2013.10.049
dc.identifier.endpage377en_US
dc.identifier.issn0016-5107
dc.identifier.issn1097-6779
dc.identifier.issue3en_US
dc.identifier.pmid24434084en_US
dc.identifier.startpage373en_US
dc.identifier.urihttps://doi.org/10.1016/j.gie.2013.10.049
dc.identifier.urihttps://hdl.handle.net/20.500.12491/14185
dc.identifier.volume79en_US
dc.identifier.wosWOS:000331233200002en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorÇöl, Cavit
dc.language.isoenen_US
dc.publisherMosby-Elsevieren_US
dc.relation.ispartofGastrointestinal Endoscopyen_US
dc.relation.publicationcategoryDiğeren_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzYK_20240925en_US
dc.subjectAPC Application
dc.subjectDysphagia
dc.subjectPassageway
dc.subjectMinimal Damage
dc.subjectStricture Dilation
dc.titleEndoscopic removal of obstructing sutures using argon plasma coagulationen_US
dc.typeEditorialen_US

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Cerrahi Tıp Bilimleri Bölümü Koleksiyonu
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