Tip 25: Hot Avulsion During EMR

Video Transcription

Video Summary

In the video, the technique of hot avulsion during EMR (endoscopic mucosal resection) is demonstrated. Hot avulsion is used to remove flat areas that resist snaring during routine hot EMR. The video shows examples of hot avulsion being used to remove areas with bleeding, which indicates an incorrect transection. The process involves grasping the area, applying mechanical tension, and briefly tapping the cutting current to separate and remove the tissue. The video also discusses the importance of grasping the right amount of tissue and avoiding burns on normal mucosa. Hot avulsion is shown to be effective in completing the resection of difficult-to-remove polyps.

Keywords

hot avulsion

EMR

endoscopic mucosal resection

bleeding

transection