LOW POWER FORCED COAGULATION OF LARGER VESSELS WITH ESD KNIFE REDUCES HEMOSTATIC FORCEPS USE DURING ENDOSCOPIC SUBMUCOSAL DISSECTION (ESD) AND PERORAL ENDOSCOPIC MYOTOMY (POEM)

Aims Precoagulation of larger vessels is important in preventing bleeding and reducing operative time of third-space endoscopy procedures. Coagulation forceps is traditionally used for that purpose, requiring repeated device exchange. Precoagulation method using low power forced coagulation with ESD knife has been described by Japanese authors. Our study evaluated efficacy of 1-10 forced precoagulation during ESD and POEM procedures and its influence on coagulation forceps use.