By Kazuhiko Atsumi (auth.), Stephen N. Joffe M.D., F.A.C.S., F.R.C.S., Yanao Oguro M.D. (eds.)
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Additional resources for Advances in Nd:YAG Laser Surgery
With technical advances represented by coupling lasers to flexible fiberoptic endoscopes, the next priority was the development of a technique for safe photocoagulation of the large variety and number of bleeding lesions found in the gastrointestinal tract. Of all the endoscopic modalities for treating UGI bleeding, the greatest amount of information is available about lasers. Tens of thousands of patients have now been treated. With the exception of injection sclerotherapy, the Nd:YAG laser is the only device used to treat both variceal and nonvariceal lesions.
Other lesions that may bleed include benign polyps in the stomach, duodenum, or colon, which can be both photocoagulated and vaporized. Malignant Lesions of the GI Tract Laser therapy has been used to control bleeding in malignant lesions of the gastrointestinal tract, which either helps to prepare the patient for definitive surgery or obviates the need for further surgical intervention in an incurable situation. Current Status Lasers are readily available in the United States, Europe, and Japan.
Interstitial Irradiation The primary present function of the SLT Frosted Probe® is to provide deep coagulation, but its chief future application will be in the administration of local hyperthermia and photodynamic therapy. The SLT Frosted Probe® is pushed into the tissue up to its flange and delivers Y AG power density and thermal energy in a hemispherical volume of2 to 3 cm radius. With powers of 5-7 W the SLT Frosted Probe® coagulates, but at powers in the 1- to 3-W range it provides local hyperthermia.