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This case report presents a valuable instance of post-electrocoagulation syndrome (PECS) following argon plasma coagulation (APC) for angiodysplasia in the ascending colon. A 66-year-old male with decompensated liver cirrhosis and chronic kidney disease underwent APC to treat bleeding. Although the immediate outcomes were satisfactory, he developed localized abdominal pain and fever approximately eight hours after the procedure. Subsequent computed tomography and colonoscopy confirmed PECS without perforation. The patient's condition improved with conservative management. This case underscores the importance of recognizing PECS as a potential complication of APC, emphasizing the need for careful monitoring and appropriate intervention in clinical practice. These findings offer further clinical insight.
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http://dx.doi.org/10.2169/internalmedicine.5774-25 | DOI Listing |
Intern Med
July 2025
Third Department of Internal Medicine, Kansai Medical University, Japan.
This case report presents a valuable instance of post-electrocoagulation syndrome (PECS) following argon plasma coagulation (APC) for angiodysplasia in the ascending colon. A 66-year-old male with decompensated liver cirrhosis and chronic kidney disease underwent APC to treat bleeding. Although the immediate outcomes were satisfactory, he developed localized abdominal pain and fever approximately eight hours after the procedure.
View Article and Find Full Text PDFJ Gastroenterol Hepatol
September 2023
Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Tokyo, Japan.
Background And Aims: Underwater endoscopic submucosal dissection (U-ESD) is a recently developed procedure that has the potential to prevent post-ESD coagulation syndrome (PECS) owing to its heat-sink effect. We aimed to clarify whether U-ESD decreases the incidence of PECS compared with conventional ESD (C-ESD).
Methods: A total of 205 patients who underwent colorectal ESD (C-ESD: 125; U-ESD: 80) were analyzed.
Dig Endosc
September 2018
Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan.
Background And Aim: The incidence of post-endoscopic submucosal dissection (ESD) coagulation syndrome (PECS) can be decreased by closing mucosal defects. However, large mucosal defects after colorectal ESD cannot be closed endoscopically. We established line-assisted complete clip closure (LACC), a novel technique for large mucosal defects after colorectal ESD.
View Article and Find Full Text PDF