ESGE Academy Journal | Journal 06-2026 I Episode 2
Electrosurgery in the Endoscopy Unit
COURSE
Series: ESGE Academy Journal
Season: Journal 06-2026
Episode 2 of 4: Electrosurgery in the Endoscopy Unit
SPEAKERS
Dr. Michele Montori, Dr. João Cunha Neves, Prof. Gianluca Esposito, Dr. Ernesto Fasulo, Dr. Alžběta Hujova, Dr. Francesco Vito Mandarino, Dr. Roos Pouw, Dr. Zuzana Vacková, Dr. Dimitrije Damjanov
DESCRIPTION
This video shows how radiofrequency current can be used for cutting or coagulation and explains how to select the appropriate settings for each device. The lecture covers monopolar and bipolar circuits, current density and tissue temperature thresholds, spark formation and impedance, waveform and impedance-guided outputs. It then goes through EMR, ESD, saline immersion, haemostatic forceps, argon plasma coagulation and biliary sphincterotomy.
LEARNING OBJECTIVES
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What to watch next...
ESGE Academy Journal | Journal 06-2026 | Episode 3
Materials & Equipment in Lower GI Endoscopy (00:14:00)
Description
This presentation focuses on the materials and equipment used for polypectomy and endoscopic mucosal resection (EMR) in the lower gastrointestinal tract. It reviews the properties of key devices — cold snares, injection needles and submucosal fluids, types of snares for hot snare polypectomy and EMR, electrosurgical units and different settings, and haemostatic devices — and explains how these properties determine the resection plane, completeness of excision, and safety. Practical guidance is given on matching device selection to lesion type and size, with reference to the ESGE curriculum for training in EMR in the colon and the 2024 ESGE colorectal polypectomy and EMR guideline. Case-based video examples are used to demonstrate the correct use of key materials, including cold snare capture, dynamic submucosal injection, hot snare transection, and snare-tip soft coagulation.
