Year: 2025
Type: article
Study design: Case Report
Abstract: Introduction: Argon plasma coagulation (APC) is a widely used technique for hemostasis and ablation in gastrointestinal tract lesions due to its ease of use and safety. However, gastrointestinal tract muscle injury can occur with high-power settings and prolonged application. Case Presentation: We present a case of an elderly female with angiodysplasia bleeding in the second portion of the duodenum treated with APC, resulting in a complication of bowel wall perforation and peritonitis. Conclusion: Acute perforation has been rarely reported with APC, either due to direct wall injury or explosion from overinflation. To avoid perforation, careful control of ablation power and duration, especially in regions with a thin gastrointestinal wall such as the gastric fundus and ascending colon, should be maintained.
Source: Case Reports in Gastroenterology
DOI: 10.1159/000548871
Authors: Wei-Yu Chan, Kian-Hwee Chong, Chia-Chi Wang, Jiann-Hwa Chen, Tsung-Hsien Hsiao, Hung-Da Chen, Wei-Chih Su
Institutions: Taipei Tzu Chi Hospital, Tzu Chi University
Language: English
Subfield: Gastroenterology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,030
OpenAlex ID: W4416284446