Endoscopic argon plasma coagulation of Marlex mesh erosion after vertical-banded gastroplasty.
BACKGROUND
Marlex mesh erosions may occur as late complications after vertical-banded gastroplasty. Experience with the endoscopic treatment is limited.


OBJECTIVE
To describe the use of argon plasma coagulation in the endoscopic treatment of eroded Marlex mesh.


METHODS
Case report.


METHODS
Endoscopy Unit, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.


METHODS
We describe the endoscopic treatment of eroded Marlex mesh in 2 patients who presented with symptoms of gastric-outlet obstruction.


METHODS
In both cases, argon plasma coagulation was used to break down the eroded Marlex mesh. Fragments were subsequently removed with forceps and electrocautery snares. We did not encounter any complications with this method.


RESULTS
The endoscopic treatment resulted in lasting symptomatic improvement in both patients.


CONCLUSIONS
Our experience is limited to 2 cases.


CONCLUSIONS
Argon plasma coagulation appears to be a promising option for the endoscopic treatment of eroded Marlex mesh. It allows the fragmentation of large mesh portions and enables subsequent removal with a snare and a forceps. This method can result in symptomatic improvement and may obviate the need for surgery. Further data are necessary to evaluate the safety and the efficacy of this approach.
Adam
Laura A
LA
Department of Medicine, Division of Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA.
Silva
Rogelio G
RG
Rizk
Maged
M
Gerke
Henning
H
D004724:Endoscopy; D005260:Female; D017219:Gastric Outlet Obstruction / Q000209:etiology / Q000601:surgery*; D015391:Gastroplasty / Q000009:adverse effects*; D006801:Humans; D017075:Laser Coagulation; D008875:Middle Aged; D011475:Prosthesis Failure; D013526:Surgical Mesh / Q000009:adverse effects*