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Heat‐Probe Coagulation Treatment of Recurrent Intramucosal Venous Dilatation of the Esophagus and Endoscopic Color Doppler Ultrasonographic Follow‐up
Author(s) -
SATO Takahiro,
HIGASHINO Kiyoshi,
TOYOTA Jouji,
KARINO Yoshiyasu,
FURUKAWA Tomoyuki,
MURASHIMA Yoshio,
SUGA Toshihiro,
YAOSAKA Tom,
IMAMURA Akimichi,
FUJINAGA Akira,
KOITO Kazumitsu,
MTYAKAWA Hiroyuki,
TOCHIHARA Masahiro,
NATSUI Kiyoto,
ANBO Tomonori,
NAGAKAWA Tatsuya,
SODA Mitsuhiko,
KATO Shigeharu,
ASO Kazunobu
Publication year - 1995
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.1995.tb00163.x
Subject(s) - medicine , esophageal varices , argon plasma coagulation , esophagus , varices , color doppler , radiology , surgery , endoscopy , gastroenterology , ultrasonography , portal hypertension , cirrhosis
We treated 14 patients with high risk intramucosal venous dilatation (high risk IMVD) of esophageal varices using heat‐probe coagulation. Two of the 14 patients experienced bleeding from the high risk IMVD. We used an Olympus heat‐probe unit CD‐20Z to stop or prevent variceal bleeding. The 14 patients were treated one to four times (mean: 1.9 times) using a total of 450–2100 joules (mean: 1459 joules). The high risk IMVD disappeared with healing of the heat‐probe‐induced ulcers. No severe side effects were recorded. Two patients with bleeding from high risk IMVD were successfully treated by the heat‐probe technique. In addition, we studied the effects of endoscopic heat‐probe coagulation for esophageal varices via endoscopic color Doppler ultrasonography (ECDUS) in six patients. Our ECDUS study was conducted with a PENTAX FG‐32UA, 7.5MHz convex type, and a HITACHI EUB 565 display monitor. Following heat‐probe treatment, the esophageal walls thickened from 5.1 to 8 mm (mean: 6.3 mm) and a low echoic pattern was visualized by ECDUS. Esophageal intramural blood flow was not observed in any of the six patients. Paraesophageal veins and passageways remained patent in all six patients.