THE USE OF ARGON PLASMA COAGULATION IN ENDOSCOPY
Authors: Batyrbekov K. , Galiakbarova A. 
Published: October 2023

Relevance: Argon plasma coagulation (APC) is a minimally invasive, non-contact electrosurgery method. This procedure is performed
in the following conditions: bleeding in hollow organs, including ulceration after radiation therapy, Barrett’s esophagus, with the germination of a malignant tumor through a stent, benign neoplasms, precancerous conditions, some malignant tumors at the earliest stages. In this
ДИАГНОСТИКА
Онкология и Радиология Казахстана, №3 (69) 2023 33
Прозрачность исследования: Авторы несут полную ответственность за содержание данной статьи.
Конфликт интересов: Авторы заявляют об отсутствии конфликта интересов.
Финансирование: Авторы заявляют об отсутствии финансирования исследования.
Вклад авторов: вклад в концепцию – Батырбеков К.У.; научный дизайн – Батырбеков К.У.; исполнение заявленного научного
исследования – Галиакбарова А.А.; интерпретация заявленного научного исследования – Батырбеков К.У.; создание научной
статьи – Батырбеков К.У.
Сведения об авторах:
Батырбеков К.У. (корреспондирующий автор) – PhD, руководитель Центра экспертной эндоскопии и интервенционной
радиологии ТОО «Национальный научный онкологический центр», Астана, Республика Казахстан, тел.: +77074744980,
e-mail: dr.kanat77@gmail.com, ORCID ID: 0000-0003-4837-0775;
Галиакбарова А.А. – врач-эндоскопист Центра экспертной эндоскопии и интервенционной радиологии ТОО «Национальный
научный онкологический центр», Астана, Республика Казахстан, тел.: +77172702911, e-mail: ainura-endo@mail.ru,
ORCID ID: 0000-0002-9588-0025.
Адрес для корреспонденции: Батырбеков К., ТОО «Национальный научный онкологический центр», ул. Керей и Жанибек ханов 3,
Астана 0100000, Республика Казахстан.
article, the authors present the first and successful experience of the use of APC in Kazakhstan during endoscopic interventions in patients
with various pathologies.
The aim of the study was to evaluate the effectiveness of the introduction of APC as an endoscopic treatment in patients with precancerous pathology and complications of surgical treatment in oncological patients.
Methods: A retrospective analysis of the use and effectiveness of AIC was carried out in 15 patients with various pathologies who were
on inpatient treatment at the National Research Oncology Center (NROC, Astana, Kazakhstan) during 2022.
Results: Barrett’s esophageal APC was successfully performed in the NROC hospital in 6 patients, no signs of intestinal-type metaplasia
of the esophageal epithelium were detected in the biopsy material. Two patients with post-radiation hemorrhagic proctitis underwent coagulation in Pulse 15Wt mode and argon flow of 0.4-1.0 L/min. A patient with the GAVE syndrome with hemorrhages underwent 2 sessions of
APC in 35Wt mode with a gas flow of 0.8 L/min. In 3 patients with fistulas of the suture of the main bronchus, coagulation was performed
after pulmonectomy and closure of the fistula was observed for 1 week. Two patients with esophagoenteroanastomosis failure underwent
2 sessions of APC using 40-watt argon with an interval of 5 days. After anterior rectal resection, the patient had a failure of anastomosis with
a multi-chamber cavity and the presence of purulent contents. 4 courses of APC were conducted with an interval of 2 weeks, after the APC,
the mouth of the main chamber narrowed, the discharge of pus stopped, as a result, there was a blind pocket up to 2.0 cm without additional
chambers and signs of inflammation.
Conclusion: The presented article describes the results of the introduction of APC as an endoscopic method of treating patients
with various pathologies in an oncological clinic, and based on these results, APC can be recommended for widespread implementation
throughout Kazakhstan.