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.