APC Procedure

APC Procedure – A Versatile Tool in Therapeutic Endoscopy

The APC procedure, or Argon Plasma Coagulation, is a versatile and indispensable non-contact thermal technique that has become a cornerstone of modern therapeutic endoscopy. Its ability to deliver controlled, superficial coagulation makes it an essential tool for gastroenterologists and interventional endoscopists managing a wide range of gastrointestinal conditions. MEDtube, the world’s leading e-learning platform for medical professionals, offers a crucial video library dedicated to this procedure. This collection serves as a definitive knowledge base, showcasing the diverse applications of APC, from managing chronic bleeding to ablating residual neoplastic tissue, all through high-quality, expert-led video demonstrations.

From GAVE to EMR Margins: A Spectrum of Clinical Applications

This extensive collection showcases the diverse applications of the APC procedure across a spectrum of clinical scenarios, providing a masterclass in its proper use. A significant focus of our library is the adjunctive use of APC following Endoscopic Mucosal Resection (EMR) of large, flat lesions (LSTs) in locations like the ascending colon and hepatic flexure. These videos demonstrate how APC is meticulously used to ablate the margins and any residual adenomatous tissue after piecemeal resection, a critical step in reducing the risk of recurrence.


Furthermore, the collection provides a deep dive into the primary therapeutic role of APC in managing bleeding from diffuse vascular lesions. You will find detailed procedural videos on the treatment of Gastric Antral Vascular Ectasia (GAVE), colloquially known as Watermelon Stomach, where APC provides a broad, superficial coagulation effect ideal for treating these lesions. The library also covers the critical application of APC in treating iatrogenic conditions, such as post-radiation proctitis and rectal telangiectasias, which are common causes of chronic, transfusion-dependent bleeding following pelvic radiotherapy. These expert-led videos provide invaluable insights into patient selection, technique, and energy settings to achieve effective hemostasis safely.

Enhance Your Endoscopic Toolkit with MEDtube

Engaging with MEDtube’s content is a direct investment in your endoscopic skill set and patient safety. Each video is a peer-reviewed guide from a global expert, ensuring you have access to credible, safe, and up-to-date techniques. By registering, you gain more than just viewing access; you can create personalized playlists of complex APC cases, join expert-led discussions, and learn from a global community of therapeutic endoscopists. Don’t just read about the nuances of treating GAVE or EMR margins; see it performed with expert precision and learn the subtle art of applying argon plasma coagulation effectively. Register for free on MEDtube today to gain unlimited access to our entire video library on the APC procedure and master this essential therapeutic tool.

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LST-G 5 cm Typical EMR

views: 4339 comments: 1
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Video case: piecemeal EMR of a typical LST-G. Showing benign pattern on close endoscopic assessment. Complete resection with clean margins and APC to the base and edges. Regards to all interested. Thanks...

APC of GAVE Using Endocap

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Video case: anaemia in a patient presenting positive testing for faecal occult blood. HB 8.0 g%. Treated with APC with endo cap in the gastroscope. If you have similar patient please don't hesitate to...

Colonoscopy: Ascending Colon 3 cm LST-G EMR

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INJECTION: 14 ML SALINE + METHYLENE BLUE SNARE: 15 MM ENDOCUT Q 3-1-3 APC: 35 W, FORCED, 0.8 LTS CLIP CLOSURE.

Endoscopic Treatment of Post Radiation Proctitis

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Application of argon plasma in vascular lesions in the rectum.

Advanced Prostate Cancer: What's Changing

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Richard G. Harris, MD, President of LUGPA and UroPartners, discusses the recent incorporation of advanced prostate cancer (APC) clinics amongst LUGPAs within the United States. He goes on to discuss why...

Endoscopy - Band Ligation for GAVE

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In this case, a decision was made to change from APC to Banding for the following reasons: although one could treat nodular GAVE with APC, after initial therapy, I realized that there may be underlying...

Colonoscopy: Ascending Colon EMR - 2 Hour Resection

views: 5416 comments: 0
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Tethering from biopsies can lead to submucosal fibrosis and will require multiple techniques; we used EMR, underwater EMR, hot biopsy avulsion, APC, and clip closure. EMR in detail, but limited the details...

Colonoscopy: Ascending Colon EMR - Uphill Access...

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This lesion was technically challenging from an access point of view. It was "up the hill". Water immersion is a useful technique in this case. Although water immersion does not need submucosal...

Colonoscopy: Transverse Colon Tethered Polyp...

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Here is a lesion in the transverse colon - LST-G type of tumor which should be relatively easy to resect. These lesions lift well and easy to cut. However, the lesion was tethered to the wall from submucosal...

Colonoscopy: IC valve LST-G EMR + Hot Biopsy...

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The video shows EMR (endoscopic mucosal resection) of ileocecal valve LST-G tumor combined with hot biopsy avulsion and followed by APC (argon plasma coagulation). The procedure is ended with clips application.

Colonoscopy: Ascending Colon LST-G Tumor EMR+APC+Clips

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The video shows snare resection (EMR) of LST-G tumor followed by argon plasma coagulation (APC). At the end of the procedure clips are applied.

Colonoscopy: IC valve EMR + Hot Bx Avulsion +...

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Resection can be technically challenging if the lesion could not be positioned in the 6 O' clock position. In such cases, cut with a small snare and try to stay in position without slipping back. This...

Colonoscopy: IC Valve 50% circumference polyp...

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An EMR of a polyp which involved about 50% circumference of an IC valve. The resection was followed by an APC to prevent the recurrence of the lesion.

Colonoscopy: Cecum Flat Lesion Resection

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This video presents resection of a flat polyp in cecum. The patient was turned during procedure to reveal the lesion submerged under the fluid. 15 mm snare was used to cut the lesion, followed by control...

Colonoscopy: Sigmoid Colon Polyp EMR

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The following video presents endoscopic mucosal resection for polyp in the sigmoid colon. The APC was used to prevent recurrence of the lesion and clip closure was performed to prevent delayed bleeding

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