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

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Huseyin Sancar Bozkurt

Medical Park Tarsus Hospital, Turkey

: J Liver Disease Transplant

Abstract

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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.

Biography

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Huseyin Sancar Bozkurt has completed his PhD at the age of 24 years from Trakya University and Ä°nternal 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.