APC Application and Exams
Argon has approved by the National Health Surveillance Agency (ANVISA) in Brazil and is low-cost. All examinations were performed with a minimum fasting of 8 hours, and the patient was in the left lateral position, with instillation of 10.0% xylocaine spray, followed by intravenous propofol under the supervision of an assistant physician (anesthesiologist) with adequate cardiopulmonary monitoring throughout the period examination using a Pentax EG-2970K endoscope (Pentax, Tokyo, Japan). To measure the gastrojejunal anastomosis, a graduated rule has used every 5.0 mm developed from a catheter for endovascular surgery laser. The images obtained were transferred to a Pentax EPK-1000 processor coupled to a computational unit, containing the ZScan 7 program (Goiânia, GO/Brazil). Then, an argon plasma (Argon 2-WEM, Ribeirão Preto, SP) has applied, with a disposable endoscopic catheter and applied over the entire circumference of the gastrojejunal anastomosis, forming a 2 cm thick halo, using a power of 90 W and flow of 2.5 L/min.
After procedure and anesthetic recovery, all patients were released in the presence of a companion. Proton pump inhibitor Dexlansoprazole 60mg per day for up to 90 days after the last session and sucralfate 2g of 12/12h for 10 days were prescribed. All patients received guidance and maintained contact with a physician in the face of adverse events. All patients were on a liquid diet for 10 days after each team return.