UNASSIGNED: We presented a 3-year-old girl with a chief complaint of bloody stool and rectal tenesmus that began 5 days ago. She was previously being treated because of a history of chronic constipation. She underwent a one stage surgery for Hirschsprung\'s disease, after a full-thickness rectal wall biopsy was obtained and it consistent with Hirschsprung\'s disease. Three months after the surgery, the girl presented to our clinic with rectal blood loss and rectal tenesmus. Endoscopic examination of her colon demonstrated sessile and pedunculated polyps. The pedunculated polyps were removed endoscopically. Biopsies were taken from the sessile polyps. Histopathologic examination of the polypectomy specimen and the biopsies of the sessile polyps showed hyperplastic polyps. The endoscopy was repeated for the purpose of argon plasma coagulation ablation of the sessile polyps. Argon plasma coagulation caused an adequate ablation and the entire polyps were burned.
UNASSIGNED: Argon plasma coagulation is an effective and safe technique in the endoscopic management of gastrointestinal conditions.
UNASSIGNED: Further clinical trials including a comparison of argon plasma coagulation to other treatment modalities, as well as long-term follow-up after argon plasma coagulation treatment are required.
■我们介绍了一个3岁的女孩,主诉是5天前开始的血便和直肠里重。由于有慢性便秘史,她以前正在接受治疗。她接受了先天性巨结肠的一期手术,在获得全厚度直肠壁活检后,它与Hirschsprung病一致。手术三个月后,女孩出现直肠失血和直肠里重。她的结肠内镜检查显示无蒂和带蒂息肉。经内镜切除带蒂息肉。活检取自无柄息肉。息肉切除标本的组织病理学检查和无蒂息肉的活检显示增生性息肉。重复内窥镜检查,目的是对无柄息肉进行氩等离子体凝固消融。氩气凝固引起充分的消融,整个息肉被烧伤。
■氩气凝固术是一种有效且安全的胃肠道疾病内镜管理技术。
■进一步的临床试验,包括氩等离子体凝固术与其他治疗方式的比较,以及氩离子凝固治疗后的长期随访是必需的。