Journal article
Endoscopic argon plasma coagulation of marlex mesh erosion after vertical-banded gastroplasty
Gastrointestinal endoscopy, Vol.65(2), pp.337-340
2007
DOI: 10.1016/j.gie.2006.06.008
PMID: 17137859
Abstract
Background: Marlex mesh erosions may occur as late complications after vertical-banded gastroplasty. Experience with the endoscopic treatment is limited.
Objective: To describe the use of argon plasma coagulation in the endoscopic treatment of eroded Marlex mesh.
Design: Case report.
Settings: Endoscopy Unit, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Patients: We describe the endoscopic treatment of eroded Marlex mesh in 2 patients who presented with symptoms of gastric-outlet obstruction.
Interventions: In both cases, argon plasma coagulation was used to break down the eroded Marlex mesh. Fragments were subsequently removed with forceps and electrocautery snares. We did not encounter any complications with this method.
Results: The endoscopic treatment resulted in lasting symptomatic improvement in both patients.
Limitations: Our experience is limited to 2 cases.
Conclusions: Argon plasma coagulation appears to be a promising option for the endoscopic treatment of eroded Marlex mesh. It allows the fragmentation of large mesh portions and enables subsequent removal with a snare and a forceps. This method can result in symptomatic improvement and may obviate the need for surgery. Further data are necessary to evaluate the safety and the efficacy of this approach.
Details
- Title: Subtitle
- Endoscopic argon plasma coagulation of marlex mesh erosion after vertical-banded gastroplasty
- Creators
- Laura A ADAM - Department of Surgery, Division of Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, United StatesRogelio G SILVA - Department of Medicine, Division of Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, United StatesMaged RIZK - Department of Medicine, Division of Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, United StatesHenning GERKE - Department of Medicine, Division of Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States
- Resource Type
- Journal article
- Publication Details
- Gastrointestinal endoscopy, Vol.65(2), pp.337-340
- Publisher
- Elsevier
- DOI
- 10.1016/j.gie.2006.06.008
- PMID
- 17137859
- ISSN
- 0016-5107
- eISSN
- 1097-6779
- Language
- English
- Date published
- 2007
- Academic Unit
- Gastroenterology and Hepatology; Internal Medicine
- Record Identifier
- 9984094616802771
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