With the increase in the use of artificial intelligence and minimally invasive interventions with the age of technology, the devices and methods we use in medicine are developing day by day. Laser Ablation therapy, which has recently started to be used in the digestive system, is one of them. The first person to mention the laser was Albert Einstein in 1917. Later, in 1960 Maiman used the laser in dermatology. Laser; It is based on the principle that light emits a photon from the atom with the energy given to the atom and transmits it through a fiber by combining the two layers optically.
How Does Laser Therapy Work?
It performs cutting, coagulation and ablation with thermal damage to the tissue with laser light, and it does this by eliminating the tissue with its evaporation feature. Tissue healing is better as it removes the tissue and provides healing with regeneration instead.
Laser Therapy and Digestive System Diseases
In many other systems, Urology, Dermatology, ENT and Eye Diseases laser is used effectively. In gastroenterology, we used a different version of the laser with an argon gas pump only for cautery vascular lesions, but the light laser system has recently been used.
Laser ablation therapy in gastroenterology is very successful and effective, especially in the treatment of gastrointestinal strictures. Its advantage over other treatments is that it has a high chance of success, a negligible complication rate and a low probability of recurrence of the disease.
Digestive system strictures can be due to many reasons; Esophageal strictures due to complications of radiotherapy, esophageal strictures due to accidental or suicidal drinking of caustic substances (detergents, etc.), esophageal strictures due to eosinophilic esophagitis, esophageal strictures due to reflux, ESD (Endoscopic Submucosal Dissection) in the esophagus Esophageal strictures after early stage tumor removal... Laser ablation therapy can be safely applied in the treatment of these strictures.
Another area of use of holmium laser is to break large stones in the biliary tract (with lithotripsy technique).
Also, in advanced stage tumors for palliative treatment, especially in cases that narrow the lumen, both for palliative purposes and for the localization of the tumor. It is used for therapeutic purposes. Another area of use is the laser method, which we call ESD, which we do by entering through the mouth or rectum with endoscopes in early stage cancers in the digestive system.
Laser Ablation Treatment Procedure
Processing like patient upper digestive system endoscopy is prepared. The drugs that he will not take before the procedure are told three days in advance, the patient is planned to come to the hospital fasting for at least 8 hours. The procedure is performed by passing the laser catheter through the treatment channel of the endoscopes advanced orally under anesthesia and treating the tissue with laser. Depending on the underlying disease of the patient, the patient is discharged after 5-6 hours of observation on the day of the procedure or discharged the next day after overnight hospitalization and follow-up. You can ask questions and ask for suggestions about your question. You can use the contact form on our website to reach us.
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