Argon plazma koagülasyon: Durdurulamayan özofagus varis kanamalarında alternatif endoskopik kurtarma tedavisi olabilir mi?

Year 2016, Volume: 24 Issue: 1, 26 - 27, 28.04.2016

Hüseyin Sancar Bozkurt

https://doi.org/10.17940/endoskopi.307066

Abstract

Özofagus varis kanaması portal hipertansiyonun 6 haftalık mortalite oranının yaklaşık %20 olduğu yaşamı tehdit edici bir komplikasyonudur. Günümüz verisi vazoaktif ilaçlarla endoskopik varis ligasyonu, antibiyotik kombinasyonunun en iyi tedavi edici yöntem olduğunu desteklemektedir. Doku yapıştırıcılar, endolooplar, endoskopik klipsleme ve argon plazma koagülasyon kontrol edilemeyen özofagus varis kanamasında kullanılmaktadır.

Keywords

Özofagus varis kanaması, portal hipertansiyon, argon plazma koagülasyon

Can argon plasma coagulation be endoscopic recovery treatment in uncontrolled esophageal varices bleeding?

Abstract

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 being the endoscopic procedure of choice. Tissue adhesives, endoloops, endoscopic clipping and argon plasma coagulation, have been used in the management of uncontrolled esophageal varices bleeding. 

Keywords

Esophageal variceal bleeding, portal hypertension, argon plasma coagulation

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