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Have you ever wondered why we step on the BLUE vs. YELLOW pedal?
Low currents - coagulate,
slowly, lead to desiccation
High currents - cause cells to burst
quickly via cutting
PEDAL modes:
Pure cut
Blend Cut = 50/50 (cut/coag)
Have you ever wondered why we step on the BLUE vs. YELLOW pedal?
Low currents - coagulate,
slowly, lead to desiccationHigh currents - cause cells to burst
quickly via cutting PEDAL modes:Pure cut
Blend Cut = 50/50 (cut/coag)
PEDAL modes: Coagulation onlyMonopolar
Bipolar
APC
Multi-center study study that compared clip closure vs. no clip closure and two resection methods (forced coagulation vs. Endocut/Blend).
No difference in adverse events, polyp recurrence, complete resectionAntithrombotics, polyp size or location did not have an effect
Weaknesses: 25% of patients did not have a f/u colonoscopy; excluded polyps < 20mm or pedunculatedThe choice is based on YOUR preference
What do you prefer to use in practice? Any tips for new fellows? @MTPapaD @stevenbollipo @DCharabaty @BilalMohammadMD
