caa a22 4500 475779649 CHVBK 20180406123640.0 cr unu---uuuuu 170329e20001201xx s 000 0 eng 10.1007/s004640000266 doi (NATIONALLICENCE)springer-10.1007/s004640000266 Argon beam plasma coagulation in the management of cancers of the esophagus and stomach [Elektronische Daten] [K. Akhtar, J. P. Byrne, J. Bancewicz, S. E. A. Attwood] Background: Esophagogastric cancer often presents at an advanced stage, or in patients unfit for resection. These patients may benefit from local ablation to provide both symptom and disease control. Methods: A series of 48 consecutive patients with esophagogastric cancer were treated with endoscopic argon beam plasma coagulation (ABPC) at a specialist unit. Results: Of 16 unfit patients who presented with early cancers, four are disease-free and all are asymptomatic at a median of 21 months after treatment. In 13 of 14 patients with occluded esophageal stents, the esophageal lumen was restored. In 18 patients with advanced cancers, ABPC was employed to debulk two gastric outlet and eight esophageal tumors. Argon was employed successfully to control bleeding in three of five patients. In advanced disease, dysphagia was relieved in only one of three patients. Conclusions: Endoscopic ABPC controls symptoms and may control early esophageal and gastric cancers in unfit patients. ABPC allows restoration of the lumen in stent overgrowth and control of bleeding from advanced gastric neoplasms; however, its role in debulking large tumors is less clear. Springer-Verlag New York Inc., 2000 Key words: Argon beam — Esophageal cancer — Gastric cancer — Endoscopic ablation nationallicence Akhtar K. University Department of Upper Gastrointestinal Surgery, Hope Hospital, Stott Lane, Salford, M6 8HD, England, GB aut Byrne J. P. University Department of Upper Gastrointestinal Surgery, Hope Hospital, Stott Lane, Salford, M6 8HD, England, GB aut Bancewicz J. University Department of Upper Gastrointestinal Surgery, Hope Hospital, Stott Lane, Salford, M6 8HD, England, GB aut Attwood S. E. A. University Department of Upper Gastrointestinal Surgery, Hope Hospital, Stott Lane, Salford, M6 8HD, England, GB aut Surgical Endoscopy Springer-Verlag 14/12(2000-12-01), 1127-1130 0930-2794 14:12<1127 2000 14 464 https://doi.org/10.1007/s004640000266 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000266 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Akhtar K. University Department of Upper Gastrointestinal Surgery, Hope Hospital, Stott Lane, Salford, M6 8HD, England, GB aut NATIONALLICENCE 700 1- Byrne J. P. University Department of Upper Gastrointestinal Surgery, Hope Hospital, Stott Lane, Salford, M6 8HD, England, GB aut NATIONALLICENCE 700 1- Bancewicz J. University Department of Upper Gastrointestinal Surgery, Hope Hospital, Stott Lane, Salford, M6 8HD, England, GB aut NATIONALLICENCE 700 1- Attwood S. E. A. University Department of Upper Gastrointestinal Surgery, Hope Hospital, Stott Lane, Salford, M6 8HD, England, GB aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/12(2000-12-01), 1127-1130 0930-2794 14:12<1127 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer