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CC BY-NC-ND 4.0 · Journal of Coloproctology 2023; 43(04): e292-e299
DOI: 10.1055/s-0043-1776886
Original Article

Place of Plasma Argon Coagulation in the Treatment of Vascular Abnormalities of the Digestive Tract in Adults

Samir Mrabti
1   Hepato-gastroenterology Department II, Mohammed V Military Instruction Hospital, Mohammed V University, Rabat, Morrocco
,
Ahlame Benhamdane
1   Hepato-gastroenterology Department II, Mohammed V Military Instruction Hospital, Mohammed V University, Rabat, Morrocco
,
Asmae Sair
1   Hepato-gastroenterology Department II, Mohammed V Military Instruction Hospital, Mohammed V University, Rabat, Morrocco
,
Tarik Addajou
1   Hepato-gastroenterology Department II, Mohammed V Military Instruction Hospital, Mohammed V University, Rabat, Morrocco
,
Réda Berrida
1   Hepato-gastroenterology Department II, Mohammed V Military Instruction Hospital, Mohammed V University, Rabat, Morrocco
,
Sara Sentissi
1   Hepato-gastroenterology Department II, Mohammed V Military Instruction Hospital, Mohammed V University, Rabat, Morrocco
,
Ilham Koti
1   Hepato-gastroenterology Department II, Mohammed V Military Instruction Hospital, Mohammed V University, Rabat, Morrocco
,
Fedoua Rouibaa
1   Hepato-gastroenterology Department II, Mohammed V Military Instruction Hospital, Mohammed V University, Rabat, Morrocco
,
Ahmed Benkirane
1   Hepato-gastroenterology Department II, Mohammed V Military Instruction Hospital, Mohammed V University, Rabat, Morrocco
,
Hassan Seddik 
1   Hepato-gastroenterology Department II, Mohammed V Military Instruction Hospital, Mohammed V University, Rabat, Morrocco
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Abstract

The aim of our study is to evaluate the value of Argon Plasma Coagulation in the treatment of gastrointestinal vascular abnormalities.

Patients and methods This is a descriptive and analytical retrospective study, from January 2009 to September 2020. 198 patients who have benefited from treatment with Argon Plasma Coagulation for vascular anomalies of the digestive tract divided into 2 groups:

-Group A: Patients with radial rectitis lesions (n = 107).

-Group B: Patients with lesions of digestive angiodysplasia (n = 91).

Results The mean age of our patients was 64.95 ± 9.88 years [43 - 83] in group A, while in group B the mean age was 65.19 ± 14.29 years [40 - 91] with a clear male predominance in 72.5%. The majority of patients in group A were followed for prostate cancer in 33,8%, and 26.3% of patients in group B had chronic renal failure, followed by stomach cancer in 15.8%, and esophageal cancer in 10.5%. Clinical symptomatology was dominated by rectories in 40.2% in group A versus 46.8% in group B. Rectal involvement was dominated in group A in 98.1%, whereas in group B the lesions were mainly located in the stomach in 60.5%. The endoscopic evolution was favorable in all our patients with a clear improvement of rectal lesions and digestive angiodysplasia lesions. The total complication rate in our series was nil.

Conclusion Plasma Argon coagulation is a very effective method in the endoscopic treatment of digestive haemorrhages with good tolerability and a low complication rate.

Keywords

argon plasma coagulation - radiation rectitis - intestinal angiodysplasia


Publication History

Received: 12 December 2022

Accepted: 24 October 2023

Article published online:
27 November 2023

© 2023. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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