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Titolo:
Low power diode laser treatment using indocyanine green for eradication ofesophageal varices
Autore:
Hino, S; Kakutani, H; Ikeda, K; Yasue, H; Sumiyama, K; Uchiyama, Y; Kuramochi, A; Matsuda, K; Arakawa, H; Kawamura, M; Masuda, K; Suzuki, H; Hayashi, T; Nakamura, N; Arai, T; Kikuchi, M;
Indirizzi:
Jikei Univ, Sch Med, Dept Endoscopy, Tokyo, Japan Jikei Univ Tokyo Japan ikei Univ, Sch Med, Dept Endoscopy, Tokyo, Japan Natl Def Med Coll, Dept Med Engn, Tokorozawa, Saitama 359, Japan Natl Def Med Coll Tokorozawa Saitama Japan 359 rozawa, Saitama 359, Japan
Titolo Testata:
ENDOSCOPY
fascicolo: 10, volume: 33, anno: 2001,
pagine: 873 - 875
SICI:
0013-726X(200110)33:10<873:LPDLTU>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
SCLEROTHERAPY; LIGATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
9
Recensione:
Indirizzi per estratti:
Indirizzo: Hino, S Med Univ S Carolina, Ctr Digest Dis, 96 Jonathan Lucas St 210,ClinSci Bldg, Charleston, SC 29425 USA Med Univ S Carolina 96 Jonathan Lucas St 210,Clin Sci Bldg Charleston SC USA 29425
Citazione:
S. Hino et al., "Low power diode laser treatment using indocyanine green for eradication ofesophageal varices", ENDOSCOPY, 33(10), 2001, pp. 873-875

Abstract

Background and Study Aims: Endoscopic variceal ligation (EVL) is an alternative to sclerotherapy for the treatment of esophageal varices, but is associated with higher rates of recurrence and subsequent bleeding than sclerotherapy. To prevent recurrence of varices after EVL, we have developed a low-dose diode laser therapy combined with the injection of indocyanine green,which allows enhanced tissue absorption of the laser beam selectively around varices. In this study we investigated the efficacy and safety of this technique. Patients and Methods: Eight patients with F2 or F3 esophageal varices wereenrolled. At 1 week after EVL, indocyanine green solution (1 mg/ml) was injected submucosally around the remaining varices. A diode laser (power 10 watts) was applied to the surface from the esophagogastric junction to 5 cm above it. The spot size was kept to 5 mm in diameter. Results: Laser irradiation was performed safely, without bleeding from thevarices, or perforation. There were no major complications. Endoscopy 1 month later showed F0 forms in seven patients, F1 in one patient, and no red color sign in any patient. No recurrence of varices has been observed in any of the patients during the follow-up period of at least 12 months. Conclusion: This technique may provide a simple, safe and effective procedure, as an additional treatment to EVL, for the prevention of recurrence ofesophageal varices.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/11/20 alle ore 20:16:49