Article ; Online: Argon Plasma Coagulation of Gastric Inlet Patches of the Cervical Esophagus Relieves Vocal and Respiratory Symptoms in Selected Patients.
Digestive diseases and sciences
2022 Volume 68, Issue 5, Page(s) 1936–1943
Abstract: Objectives: Argon plasma coagulation (APC) of gastric inlet patches of the cervical esophagus (GIP) has been shown to relieve the globus sensation. This study aimed to investigate the long-term effects of APC therapy on a variety of laryngopharyngeal ... ...
| Abstract | Objectives: Argon plasma coagulation (APC) of gastric inlet patches of the cervical esophagus (GIP) has been shown to relieve the globus sensation. This study aimed to investigate the long-term effects of APC therapy on a variety of laryngopharyngeal symptoms. Methods: Patients with laryngopharyngeal symptoms who had undergone endoscopic GIP eradication via APC therapy were eligible for a retrospective observational cohort study. Symptom relief was assessed by a five-grade scale during a structured interview. Statistical analysis included ANOVA, the chi-squared and t-test. Results: A total of 45 patients (61.0 (52.0; 69.0) years, 26 (57.8%) female) were included after a follow-up time of 85.0 (55.3; 111.0) months. Symptoms included dysphagia (56.0%), dysphonia (51.0%), hoarseness (76.0%), the necessity of throat clearing (73.0%), globus sensation (56.0%) and heartburn (71.0%). Complete GIP eradication was achieved after one session in 25 (55.6%), repetitive sessions were needed in the remaining cases. Fourteen patients (31.1%) reported a very strong, 11 (24.4%) a strong and 8 patients (17.8%) an intermediate improvement; five patients did not benefit. The most apparent improvement was seen regarding hoarseness (from 2.6 ± 1.7 to 1.2 ± 1.3), the necessity of throat clearing (from 2.6 ± 1.7 to 1.1 ± 1.3), globus sensation (from 2.0 ± 1.9 to 0.9 ± 1.3) and heartburn (from 2.5 ± 1.8 to 1.4 ± 1.6). Adverse events included post-endoscopic pain (n = 6, 13.3%) and purulent pharyngitis (n = 2, 4.4%). Conclusions: The APC therapy of GIP is safe and leads to long-term relief of laryngopharyngeal symptoms in carefully selected patients. |
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| MeSH term(s) | Humans ; Female ; Male ; Heartburn/diagnosis ; Argon Plasma Coagulation ; Hoarseness ; Bays ; Retrospective Studies ; Gastric Mucosa ; Prospective Studies ; Esophagus/surgery | |||||
| Language | English | |||||
| Publishing date | 2022-11-14 | |||||
| Publishing country | United States | |||||
| Document type | Observational Study ; Journal Article | |||||
| ZDB-ID | 304250-9 | |||||
| ISSN | 1573-2568 ; 0163-2116 | |||||
| ISSN (online) | 1573-2568 | |||||
| ISSN | 0163-2116 | |||||
| DOI | 10.1007/s10620-022-07745-9 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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