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At least 865 records · Page 48Linked to original sources
PubMed1995

Combined endoscopic thermal electrocoagulation with high dose omeprazole therapy in complicated heterotopic gastric mucosa of the esophagus.

We report a case of a 38-yr-old man presenting with dysphagia due to stricturing of an isolated patch of heterotopic acid-secreting gastric mucosa ("inlet patch") in the proximal esophagus who was successfully treated with endoscopic thermal coagulation while receiving acid suppression with a proton pump inhibitor. Follow-up endoscopy at 15 months after completion of therapy revealed repopulation of the heterotopic gastric mucosa with normal squamous epithelium and continued resolution of the patient's symptoms. The clinical significance of the inlet patch is discussed, and the role of mucosal ablation in treatment of this entity is described.

Adult↗
PubMed1995

An experimental study of optimal parameters for bipolar electrocoagulation.

The role of artery diameter, probe force application (94, 250 or 491 g), coagulation time (2, 10, or 20 secs) and BICAP generator output (5, 10) were studied in rabbit arteries of 3 to 5 mm hemicircumference. Arterial welds were then tested to destruction by increasing intraluminal pressure. The best arterial welds were achieved by the highest force and coagulation time; high generator output did not improve weld strength. These in vitro experiments suggest that when treating a bleeding peptic ulcer, BICAP therapy should be done with a low generator output of 5 or less, for at least 20 seconds per site, and with as great a compression force as possible.

Animals↗
PubMed1995

[Electrocoagulation in patients with cardiac pacemakers: what should be considered?].

Since the early days of pacemaker development electromagnetic interference (EMI) has always been a major concern and challenge to engineers, producers and physicians. The latter has to be aware of adverse effects of certain electric medical devices used near or on a patient carrying a pacemaker. Although highly sophisticated circuits and filters inside modern pacemakers can reject most EMI, concerns still remain and normal pacemaker function can be affected. EMI can be triggered by a variety of medical devices such as electrocautery, magnetic resonance imaging, diathermy, cardioversion and defibrillation, therapeutic radiation and lithotripsy. This article addresses the possible effects of electrocautery and the precautions that should be taken in case such a device has to be used on a patient with a pacemaker.

Contraindications↗
PubMed1993

[Treatment of cancer pain with the percutaneous electrocoagulation of spinal nerves].

To our knowledge, this is the first report of high-frequency thermocoagulation applied to the spinal root. We treated 34 patients suffering from cancer pain with this technique. Among these patients, cancer pain occurred due to intrapelvic metastasis in 11 patients, and 13 complained of chest pain due to cancer. Every patient was considered to have good or excellent response when his or her pain score was reduced to 6 points or less from the score before thermocoagulation; 10 points. Based on this criterion, 54.5% and 30.8% of the above-mentioned patients showed good and excellent responses respectively one month after treatment. This technique, therefore, was considered to be effective with less side effects compared with other nerve blocking techniques.

Adult↗
PubMed1993

[Electrocoagulation of the endometrium. A new method for the treatment of hemorrhagic disorders in women].

The purpose of this investigation was to evaluate endometrial ablation as an alternative treatment for heavy dysfunctional menstrual bleeding in women with indications for hysterectomy. After preliminary treatment with danazol 200 mg q.i.d. for four weeks, transcervical endometrial ablation was performed in general anaesthesia with a hysteroresectoscope and the "rollerball" electrode. Twenty-five consecutive patients were treated and discharged the following day. Twenty-two patients (88%) were very satisfied with the result. 68% became hypomenorrhoeic and 20% amenorrhoeic. Three patients required a hysterectomy because of continuing bleeding due to intrauterine septum and fibroma. The median follow-up time was seven months. Eight patients (32%) had either a submucus fibroid or an intrauterine septum. Neither uterine perforations nor major complications occurred. Endometrial ablation with the "rollerball" method appears to be an easy, cost-effective, safe and efficient treatment for heavy severe menorrhagia.

Adult↗