First Year Fellows Endoscopy Course (August 5 - 6) | 2022-Virtual Demonstration 2

Video Transcription

Video Summary

In this video, the speaker discusses thermal therapies, specifically argon plasma coagulation (APC) and the Gold Probe. APC is used to ablate small superficial lesions in the stomach, duodenum, small intestine, and colon using a cautery machine and pedal. It is not recommended for ulcer bleeds, as other modalities like injection and clips are more effective. APC works by ionizing argon gas through a tungsten wire to deliver cautery. It only causes a superficial burn and is appealing for ablating AVMs or polyp margins due to less risk of deep tissue injury. The Gold Probe, meanwhile, is used for bleeding ulcers with visible vessels. It works by collapsing and thrombosing the vessel through pressure and cautery. The speaker emphasizes the importance of positioning and pressure application during thermal therapies. The Gold Probe requires longer cautery duration compared to other modalities. The video also mentions the use of epinephrine injection alongside the Gold Probe. The speaker suggests becoming comfortable with these modalities and individualizing their use based on the patient and lesion characteristics.

Keywords

thermal therapies

argon plasma coagulation

Gold Probe

cautery machine

ulcer bleeds

ionizing argon gas