Tip 17: Electrocautery Settings for EMR | April 2021-Tip 17: Electrocautery Settings for EMR

Video Transcription

Video Summary

In this video, the speaker discusses electrocautery settings for endoscopic mucosal resection (EMR) on the ASGE SuTab tip. They explain that there has been a shift in thinking about the type of current used, with many experts switching from low power coagulation current to cutting current to reduce the risk of delayed bleeding. However, a recent randomized trial showed that there was no difference in delayed bleeding between the two types of current, challenging the previous belief. The speaker now uses microprocessor controlled coagulation current for EMR and emphasizes the importance of transection speed in reducing thermal injury. They also discuss the use of coagulation current for large pedunculated polyps and hot avulsion techniques. The video concludes with recommendations for the treatment of normal appearing mucosa after piecemeal hot EMR. No credits were mentioned in the video.

Keywords

electrocautery settings

endoscopic mucosal resection

ASGE SuTab tip

current type

delayed bleeding