HOW TO PERFORM ENDOSCOPIC SUBMUCOSAL DISSECTION (ESD) FOR COLORECTAL NEOPLASIA SAFELY USING A BIPOLAR ESD KNIFE

Abstract

The colon and rectum have a thinner wall than other gastrointestinal tracts. This anatomical characteristic makes endoscopic submucosal dissection (ESD) of the colon difficult. Therefore, careful attention is required for safely performing ESD of colorectal lesions.

The Jet B-knife^Ⓡ is a bipolar knife with a water injection function. This knife was developed to perform a mucosal incision and coagulation at the root of the knife. This makes it possible to perform incisional dissection safely with a low risk of perforation. In this article, we will review the use of bipolar devices, including Tighturn bipolar hemostatic forceps, as well as the generator settings.