Usefulness of Transnasal Argon Plasma Coagulation for Esophageal Varices Compared with the Peroral Method: A Randomized and Prospective Clinical Study | Zendy

Yoshihiro Furuichi | Zendy; Takashi Kawai | Zendy; Shigeki Ichimura | Zendy; Yuki Miyata | Zendy; Takatomo Sano | Zendy; Eigaku Murashima | Zendy; Junichi Taira | Zendy; Katsutoshi Sugimoto | Zendy; Yasuharu Imai | Zendy; Ikuo Nakamura | Zendy; Fuminori Moriyasu | Zendy

Open Access

Usefulness of Transnasal Argon Plasma Coagulation for Esophageal Varices Compared with the Peroral Method: A Randomized and Prospective Clinical Study

Author(s) -

Yoshihiro Furuichi,

Takashi Kawai,

Shigeki Ichimura,

Yuki Miyata,

Takatomo Sano,

Eigaku Murashima,

Junichi Taira,

Katsutoshi Sugimoto,

Yasuharu Imai,

Ikuo Nakamura,

Fuminori Moriyasu

Publication year - 2013

Publication title -

digestion

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.882

H-Index - 75

eISSN - 1421-9867

pISSN - 0012-2823

DOI - 10.1159/000343901

Subject(s) - medicine , argon plasma coagulation , esophageal varices , hepatic encephalopathy , sedation , surgery , anesthesia , cirrhosis , varices , clinical endpoint , gastroenterology , prospective cohort study , portal hypertension , randomized controlled trial , endoscopy

Argon plasma coagulation (APC) is very useful as a consolidation treatment for reducing the recurrence of esophageal varices (EVs). However, repeated sedation in endoscopic treatment has the risk of prolonging hepatic encephalopathy and affects the respiratory state of liver cirrhosis (LC) patients, in whom pulmonary arteriovenous shunts are observed. We evaluated prospectively whether transnasal endoscopic APC without sedation is more effective than peroral endoscopic APC with sedation.

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