[Argon plasma coagulation for gastrointestinal lesions]
Larrea Bonavento N, García Martí S, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Bardach A, Ciapponi A.
Record ID 32018001475
Spanish
Original Title:
Coagulación con argón plasma en lesiones gastrointestinales
Authors' recommendations:
CONCLUSIONS
High-quality evidence shows that argon plasma coagulation is similar to other techniques in removal and recurrence of Barrett’s esophageal lesions. For the treatment of esophageal varices, its use as adjuvant treatment in hemostasis shows little benefit in lesion recurrence, with no changes in the rate of re-bleeding. Also, in hemostasis of peptic ulcer it has a similar efficacy to its comparators regarding bleeding recurrence.
Moderate quality evidence suggests that its use for radiation proctitis treatment does not show significant differences against its comparators. Furthermore, adjuvant treatment of colorectal lesion resection does not show advantages in terms of lesion recurrence.
Low-quality evidence suggests that argon plasma coagulation would be associated to increases in hemoglobin levels and a decrease in the number of transfusions in patients with gastric antral vascular ectasia.
Some clinical practice guidelines mention it as an alternative as adjuvant treatment of resections and treatment of residual lesions in Barrett’s esophagus, upper gastrointestinal bleeding of varicose vein origin, bleeding from angioectasias and ablation of remaining high risk tissue after resection in esophageal cancer.
Most health sponsors surveyed do not cover it. Only one of then covers it in all the described indications and another one as adjuvant treatment of resection and treatment of residual lesions in Barrett’s esophagus.
Details
Project Status:
Completed
Year Published:
2018
URL for published report:
https://www.iecs.org.ar/home-ets/
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Argentina
MeSH Terms
- Barrett Esophagus
- Gastrointestinal Hemorrhage
- Laser Coagulation
- Argon Plasma Coagulation
- Endoscopy, Gastrointestinal
- Upper Gastrointestinal Tract
- Peptic Ulcer
Contact
Organisation Name:
Institute for Clinical Effectiveness and Health Policy
Contact Address:
Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name:
info@iecs.org.ar
Contact Email:
info@iecs.org.ar
Copyright:
Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.