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TIPS AND TRICKS ENERGY DEVICE IN FLEXIBLE ENDOSCOPY
Cutting mode uses lower energy than coagulation mode and is preferred to minimize initial bleeding when possible during flexible endoscopy. Coagulation mode can cause delayed bleeding while cutting results in initial bleeding but less chance of delayed bleeding. Biopsy forceps have a greater risk of capacitance coupling compared to snares during flexible endoscopy due to their larger diameter, so care should be taken to avoid complications. Lifting and tenting the mucosa and wiggling the endoscope when removing polyps can help prevent burn injuries to surrounding tissue from capacitance coupling.
TIPS AND TRICKS ENERGY DEVICE IN FLEXIBLE ENDOSCOPY
- 2. Tips and tricks energydevice in flexible endoscopy
- 3. • Cutting mode= low energy • Coagulation mode= high energy So always consider cutting mode if possible
- 4. • Coagulation mode= delayed bleeding • Cutting mode = initial bleeding but less chance of delayed bleeding
- 5. • Capacitance couplingmore in flexible endoscopy than rigid endoscopy. • So be smart to avoid its conciquence.
- 6. • Snare vsbiopsy forcep • More chance of coupling in case of biopsy forcep than snare as snare is less in diametre.
- 7. • Avoiding tricks •During polypectomy lifting and tenting of mucosa of gut. • Wiggle the scope head. • Its prevent burn injury to the base of the polyp and adjacent coupling in gut mucosa and gut wall. • APC= monopolar,RFA=bipolar.