Korean J Gastrointest Endosc > Volume 37(5); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;37(5): 355-359.
아르곤 플라즈마 응고소작법 후 발생한 무증상의 기복 2예
순천향대학교 의과대학 천안병원 소화기내과학교실
Two Cases of Asymptomatic Pneumoperitoneum after Argon Plasma Coagulation Treatment
Sang Pil Kim, M.D., Suck-Ho Lee, M.D., Jun Young Lee, M.D., Jin Woo Park, M.D., Ji-Young Park, M.D., Chang Kyun Lee, M.D., Il-Kwun Chung, M.D. and Sun-Joo Kim, M.D.
Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Korea
Argon Plasma Coagulation (APC), a new endoscopic hemostatic method of non-contact electrocoagulation, is widely used for ablation of Barrett's esophagus, residual tissue after polypectomy, palliation of malignancy and hemostasis of radiation proctopathy, bleeding peptic ulcers, prevention of esophageal varices. Although a safe and effective procedure, if used inappropriately, side effects such as failure of hemostasis, perforation, asymptomatic submucosal emphysema, and pneumoperitoneum can occur. Perforations progressing to peritonitis require surgery, but a pneumoperitoneum can recover with conservative treatment. Therefore, clinicians should distinguish these two different cases. There are no domestic cases of asymptomatic pneumoperitoneum caused by APC. In two cases treated by endoscopic submucosal dissection of polypectomy and early gastric cancer, asymptomatic pneumoperitoneum occurred after argon plasma coagulation treatment. We present these two cases of asymptomatic pneumoperitoneum treated successfully by conservative treatment without complications. (Korean J Gastrointest Endosc 2008;37:355-359)
Key Words: Argon plasma coagulation, Pneumoperitoneum
주요어: 아르곤 플라즈마 응고소작법, 기복증
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