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Inicio Gastroenterología y Hepatología (English Edition) Use of electrosurgical units in the endoscopic resection of gastrointestinal tum...
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Vol. 42. Issue 8.
Pages 512-523 (October 2019)
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Vol. 42. Issue 8.
Pages 512-523 (October 2019)
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DOI: 10.1016/j.gastre.2019.04.002
Use of electrosurgical units in the endoscopic resection of gastrointestinal tumors
Empleo de las unidades electroquirúrgicas en la resección endoscópica de neoplasias digestivas
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José C. Marín-Gabriela,
Corresponding author
josecarlos.marin@salud.madrid.org

Corresponding author at: Department of Gastroenterology, Endoscopy Unit, High Risk GI Cancer Clinic, “12 de Octubre” University Hospital. Avda. Andalucía s/n. , 28041 Madrid, Spain.
, Raffaella Romitob, Carlos Guarner-Argenteb, José Santiago-Garcíac, Joaquín Rodríguez-Sánchezd, Takashi Toyonagae
a Department of Gastroenterology, Endoscopy Unit, High Risk GI Cancer Clinic, Research Institute, 12 de Octubre (i+12), “12 de Octubre” University Hospital, Complutense University of Madrid, Madrid, Spain
b Department of Gastroenterology, Hospital de la Santa Creu i Sant Pau, Institut de Reçerca – IIB Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain
c Department of Gastroenterology, Endoscopy Unit, “Puerta de Hierro-Majadahonda” University Hospital, Autonomous University of Madrid (UAM), Majadahonda (Madrid), Spain
d Department of Gastroenterology, Endoscopy Unit, Hospital Universitario de Ciudad Real, Ciudad Real, Spain
e Department of Endoscopy, Kobe University Hospital, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe, Japan
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Tables (3)
Table 1. Outputs for commonly used generator models ERBE VIO 300D/ESG-300.
Table 2. Examples of possible recommended settings for colonic polypectomy and EMR according to the most used ESUs.
Table 3. ESD stages and preferred electrosurgical settings (VIO 300D). Note that these settings may differ depending on the knife, the location and the individual preferences. For further details about these parameters, we refer to the manufacturer's technical specifications.
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Abstract

Electrosurgical units (ESUs) are indispensable devices in our endoscopy units. However, many endoscopists are not well-trained on their use and their physical bases are usually not properly studied or understood. In addition, comparative data concerning the settings that may be applied in different circumstances are scarce in the medical literature. Given that it is important to be aware of their strengths and risks, we conducted a review of the available information and research on this topic.

Keywords:
Surgical instruments
Surgical equipment
Instrumentation
Electrosurgical unit
Electric power supplies
Electrocoagulation
Electrosurgery
Endoscopy
Endoscopic submucosal dissection
Endoscopic mucosal resection
Polypectomy
Colon polyps
Haemostasis
Endoscopic
Snare
Resumen

Las unidades electroquirúrgicas (UES) son dispositivos indispensables en nuestras unidades de endoscopia. Sin embargo, muchos endoscopistas no están bien entrenados en su uso y sus bases físicas generalmente no son estudiadas o comprendidas adecuadamente. Además, los datos comparativos sobre los ajustes que pueden aplicarse en diferentes circunstancias son escasos en la literatura médica. Dado que es importante conocer sus fortalezas y riesgos, realizamos una revisión de la información existente y la investigación sobre este tema.

Palabras clave:
Instrumentos quirúrgicos
Equipamiento quirúrgico
Instrumentación
Unidad electroquirúrgica
Fuentes de diatermia
Electrocoagulación
Electrocirugía
Endoscopia
Disección submucosa endoscópica
Resección Mucosa Endoscópica
Polipectomía
Pólipos de colon
Hemostasia
Endoscópico
Asa de diatermia

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