Last Lab showed low iron and most previous scope biopsies/scope show inflammation and ulcers and specifically mentioned in the report was consistent inflammation and ulceration in particular at the Pouch Juncture and Afferent Limb. (There may also be fibrosis and "scant amount of intact epithelium" at this spot but not sure if this is in another spot or the same location.) At next scoping GI doc wants to cauterize the area of chronic ulceration at juncture and afferent limb Has anyone ever had pouch cauterizing or heard of this actually being done? If so, did it affect your pouch in any negative way.. especially if it is already fibrotic with "scant epithelium" in the spot of cauterization? ( I also have a history of UC and colon/rectal cancer before j-pouch so I wonder if I am am greater risk for having a "bad outcome" from the cauterization. Thanks!
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BTW, the actual cauterization prodcedure is called Argon plasma coagulation. Any experiences with this?
I skimmed a few articles and it appears that this type of cautery has been around for a couple of decades, so it is not new or experimental. It seems like a reasonable approach to stubborn GI blood loss, as long as you know where the lesions are. My main question if it were me is how experienced is the provider using this technology. It is less risky than the more invasive, surgical approaches.
http://www.uptodate.com/conten...t&anchor=H14#H14
Jan 