Safety of argon plasma coagulation for hemostasis during endoscopic mucosal resection

Mitsuhiro Fujishiro; Naohisa Yahagi; Masanori Nakamura; Naomi Kakushima; Shinya Kodashima; Satoshi Ono; Katsuya Kobayashi; Takuhei Hashimoto; Nobutake Yamamichi; Ayako Tateishi; Yasuhito Shimizu; Masashi Oka; Masao Ichinose; Masao Omata

doi:10.1097/00129689-200606000-00003

Safety of argon plasma coagulation for hemostasis during endoscopic mucosal resection

Mitsuhiro Fujishiro, Naohisa Yahagi, Masanori Nakamura, Naomi Kakushima, Shinya Kodashima, Satoshi Ono, Katsuya Kobayashi, Takuhei Hashimoto, Nobutake Yamamichi, Ayako Tateishi, Yasuhito Shimizu, Masashi Oka, Masao Ichinose, Masao Omata

Cancer Center (Advanced Minimally Invasive Therapy Unit)

Research output: Contribution to journal › Article

13 Citations (Scopus)

Abstract

Showing the safety of argon plasma coagulation (APC) over mucosal defects during/after endoscopic mucosal resection (EMR), 2 studies using resected pig (ex vivo) and living minipig (in vivo) stomachs were performed. As an ex vivo study, APC was applied over mucosal defects in 2 groups; with prior submucosal saline injection and without injection. Only subtle tissue damage was observed in the injection group, whereas apparent damage was observed in the noninjection group. The damaged distances in depth significantly increased as the pulse duration increased and those at the pulse duration of 4 seconds, which might be maximal in clinical practice, were approximately 1 mm. As an in vivo study, APC was applied over mucosal defects immediately after EMR. Only subtle tissue damage was observed even at the pulse duration of 20 seconds as shown in the ex vivo study. APC can be performed safely over the mucosal defects during/after EMR.

Original language	English
Pages (from-to)	137-140
Number of pages	4
Journal	Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume	16
Issue number	3
DOIs	https://doi.org/10.1097/00129689-200606000-00003
Publication status	Published - 2006 Jun

Keywords

Argon plasma coagulation
Endoscopic mucosal resection
Hemostasis
Tissue damage

ASJC Scopus subject areas

Surgery

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Fujishiro, M., Yahagi, N., Nakamura, M., Kakushima, N., Kodashima, S., Ono, S., Kobayashi, K., Hashimoto, T., Yamamichi, N., Tateishi, A., Shimizu, Y., Oka, M., Ichinose, M., & Omata, M. (2006). Safety of argon plasma coagulation for hemostasis during endoscopic mucosal resection. Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, 16(3), 137-140. https://doi.org/10.1097/00129689-200606000-00003

Safety of argon plasma coagulation for hemostasis during endoscopic mucosal resection. / Fujishiro, Mitsuhiro; Yahagi, Naohisa; Nakamura, Masanori; Kakushima, Naomi; Kodashima, Shinya; Ono, Satoshi; Kobayashi, Katsuya; Hashimoto, Takuhei; Yamamichi, Nobutake; Tateishi, Ayako; Shimizu, Yasuhito; Oka, Masashi; Ichinose, Masao; Omata, Masao.

In: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, Vol. 16, No. 3, 06.2006, p. 137-140.

Research output: Contribution to journal › Article

Fujishiro, M, Yahagi, N, Nakamura, M, Kakushima, N, Kodashima, S, Ono, S, Kobayashi, K, Hashimoto, T, Yamamichi, N, Tateishi, A, Shimizu, Y, Oka, M, Ichinose, M & Omata, M 2006, 'Safety of argon plasma coagulation for hemostasis during endoscopic mucosal resection', Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, vol. 16, no. 3, pp. 137-140. https://doi.org/10.1097/00129689-200606000-00003

Fujishiro, Mitsuhiro ; Yahagi, Naohisa ; Nakamura, Masanori ; Kakushima, Naomi ; Kodashima, Shinya ; Ono, Satoshi ; Kobayashi, Katsuya ; Hashimoto, Takuhei ; Yamamichi, Nobutake ; Tateishi, Ayako ; Shimizu, Yasuhito ; Oka, Masashi ; Ichinose, Masao ; Omata, Masao. / Safety of argon plasma coagulation for hemostasis during endoscopic mucosal resection. In: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques. 2006 ; Vol. 16, No. 3. pp. 137-140.

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